Individual provider · Type 1 NPI
John Archie Jackson Jr.
Addiction (Substance Use Disorder) Counselor · Elizabethtown, NC
NPI number
1801439799
Active
Practice location
209 Martin Luther King Dr
Elizabethtown, NC 28337
Fax (910) 247-6829
Mailing address
12500 Ormsby Dr
Laurinburg, NC 28352-7770
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 1917 (NC) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Other addiction (substance use disorder) counselor providers in Elizabethtown
About NPI 1801439799
John Archie Jackson Jr.'s National Provider Identifier is 1801439799, issued on Oct 23, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Elizabethtown, NC. The record was last updated on Oct 23, 2019.