Individual provider · Type 1 NPI
Womble Jackson Jr.
Addiction (Substance Use Disorder) Counselor · Ruston, LA
NPI number
1740802123
Active
Practice location
2003 Franklin Ave
Ruston, LA 71270-9661
Fax (318) 224-9056
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | None listed |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
Other addiction (substance use disorder) counselor providers in Ruston
- Sharon L. Chandler, LAC, CCGC, CCDPAddiction (Substance Use Disorder) Counselor Ruston, LA NPI 1043591910
- Stacy Bernard Sanders, PhD, LACAddiction (Substance Use Disorder) Counselor Ruston, LA NPI 1053784728
- Welton Miguel Wiley, LAC, CCSAddiction (Substance Use Disorder) Counselor Ruston, LA NPI 1154469559
- Tyra Rene PriceAddiction (Substance Use Disorder) Counselor Ruston, LA NPI 1215827654
- Chad FrederickAddiction (Substance Use Disorder) Counselor Ruston, LA NPI 1417362278
- Chelsy Lewis, CITAddiction (Substance Use Disorder) Counselor Ruston, LA NPI 1467185116
- Elise Hester Reed, LCSWAddiction (Substance Use Disorder) Counselor Ruston, LA NPI 1467540484
- Taylor PriceAddiction (Substance Use Disorder) Counselor Ruston, LA NPI 1508393992
About NPI 1740802123
Womble Jackson Jr.'s National Provider Identifier is 1740802123, issued on May 8, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Ruston, LA. The record was last updated on Aug 26, 2025.