Individual provider · Type 1 NPI

Lacie Dea Jackson, PLADC

Addiction (Substance Use Disorder) Counselor · Norfolk, NE

NPI number 1518668342 Active

Practice location

1900 Vicki Ln
Norfolk, NE 68701-4558

Fax (402) 370-3373

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XP-2425 (NE)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1518668342

Lacie Dea Jackson, PLADC's National Provider Identifier is 1518668342, issued on Mar 17, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Norfolk, NE. The record was last updated on May 18, 2026.