Individual provider · Type 1 NPI

Brian A. Jackson, CADC I

Addiction (Substance Use Disorder) Counselor · Medford, OR

NPI number 1841651007 Active

Practice location

1025 E Main St
Medford, OR 97504

Call (541) 779-1282 Map

Fax (541) 608-2888

Mailing address

1003 E Main St Ste 104
Medford, OR 97504-7140

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 1841651007

Brian A. Jackson, CADC I's National Provider Identifier is 1841651007, issued on Mar 16, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Medford, OR. The record was last updated on Aug 23, 2018.