Individual provider · Type 1 NPI

Ricardo Jackson, CASAC

Addiction (Substance Use Disorder) Counselor · Brooklyn, NY

NPI number 1629159967 Active

Practice location

175 Remsen St, 10th Floor
Brooklyn, NY 11201-4300

Fax (718) 852-5666

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X6092 (NY)

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

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About NPI 1629159967

Ricardo Jackson, CASAC's National Provider Identifier is 1629159967, issued on Oct 17, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Brooklyn, NY. The record was last updated on Jul 8, 2007.