Individual provider · Type 1 NPI

Joseph Ray Jackson, M.A.

Addiction (Substance Use Disorder) Counselor · Belleville, IL

NPI number 1689011983 Active

Practice location

12 N 64th St
Belleville, IL 62223-3809

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1689011983

Joseph Ray Jackson, M.A.'s National Provider Identifier is 1689011983, issued on May 28, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Belleville, IL. The record was last updated on May 28, 2013.