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

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed
Mental Health Counselor 101YM0800XNone listed

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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.