Individual provider · Type 1 NPI
James Jackson
Addiction (Substance Use Disorder) Counselor · Brockton, MA
NPI number
1659741155
Active
Practice location
103 Commercial St
Brockton, MA 02302-3101
Mailing address
48 Taber Ave
Brockton, MA 02302-2341
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | None listed |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
| Mental Health Counselor | 101YM0800X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
59 other providers at this address
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About NPI 1659741155
James Jackson's National Provider Identifier is 1659741155, issued on Sep 28, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Brockton, MA. The record was last updated on Sep 28, 2015.