Individual provider · Type 1 NPI
Lena Citirah Jackson, LCAS, LCMHC
Addiction (Substance Use Disorder) Counselor · Fayetteville, NC
NPI number
1710107404
Active
Practice location
1724 Roxie Ave
Fayetteville, NC 28304-1623
Fax (919) 758-9317
Mailing address
11361 N 99th Ave Ste 402
Peoria, AZ 85345-5459
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | 12462 (NC) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 2211 (NC) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
18 other providers at this address
- County of CumberlandPsychiatry Physician Fayetteville, NC NPI 1750412516
- Cumberland Co. Hospital System IncSubstance Use Disorder Rehabilitation Hospital Unit Fayetteville, NC NPI 1720384423
- Recovery Innovations, IncCommunity/Behavioral Health Agency Fayetteville, NC NPI 1801451216
- Aaron Avrum Brodsky, PhDPsychologist Fayetteville, NC NPI 1184694481
- Anthony Wayne Cannon, MSPsychologist Fayetteville, NC NPI 1811036205
- Beth Ann EdwardsPhysician Assistant Fayetteville, NC NPI 1912051194
- Diana Wilma Avila, LCASAddiction (Substance Use Disorder) Counselor Fayetteville, NC NPI 1124443163
- Iris Sonja Palin, LCSWASocial Worker Fayetteville, NC NPI 1386495034
- La Tonya Frazier-Moore, RNRegistered Nurse Fayetteville, NC NPI 1063170546
- Lakasha McDonald, LPNLicensed Practical Nurse Fayetteville, NC NPI 1588322085
- Leon Kentrelle Williams, LCSWAClinical Social Worker Fayetteville, NC NPI 1063041259
- Marilyn ArimontClinical Social Worker Fayetteville, NC NPI 1720701931
Other addiction (substance use disorder) counselor providers in Fayetteville
- Nicole Turner, CADC-RAddiction (Substance Use Disorder) Counselor Fayetteville, NC NPI 1003568379
- Shirley Ann White-SneadAddiction (Substance Use Disorder) Counselor Fayetteville, NC NPI 1003697459
- Kelvin D. Clark, MS, LMFT, LPC, LCASAddiction (Substance Use Disorder) Counselor Fayetteville, NC NPI 1033165923
- Larry Wayne Clubine, BA, CSACAddiction (Substance Use Disorder) Counselor Fayetteville, NC NPI 1033386610
- Douglas Edwards, CSAC 24173Addiction (Substance Use Disorder) Counselor Fayetteville, NC NPI 1033772496
- Latonya Benjamin, CADC-IAddiction (Substance Use Disorder) Counselor Fayetteville, NC NPI 1053238089
- Tyrone Jerrod Fields (tj), NCCPSS, CADC-RAddiction (Substance Use Disorder) Counselor Fayetteville, NC NPI 1063107472
- Charay Sharonda Smith, LCAS-A / ED.D./ MSAAddiction (Substance Use Disorder) Counselor Fayetteville, NC NPI 1063117224
About NPI 1710107404
Lena Citirah Jackson, LCAS, LCMHC's National Provider Identifier is 1710107404, issued on Apr 26, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fayetteville, NC. The record was last updated on Nov 18, 2025.