Individual provider · Type 1 NPI

Amber Nicole Jackson

Addiction (Substance Use Disorder) Counselor · Portsmouth, OH

NPI number 1790448587 Active

Practice location

411 Court St
Portsmouth, OH 45662-3932

Fax (740) 876-4005

Specialties and licenses

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

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About NPI 1790448587

Amber Nicole Jackson's National Provider Identifier is 1790448587, issued on Oct 19, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Portsmouth, OH. The record was last updated on Aug 20, 2024.