Individual provider · Type 1 NPI
Bethena M. Jackson, CSAC, LCAS-A
Addiction (Substance Use Disorder) Counselor · Durham, NC
NPI number
1881930006
Active
Practice location
2604 Carver St, Suite C
Durham, NC 27705-2796
Fax (919) 683-2641
Mailing address
2109 Pear Tree Ln
Durham, NC 27703-6280
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 2421 (NC) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
3 other providers at this address
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- Raymond Earl Cox, CSACAddiction (Substance Use Disorder) Counselor Durham, NC NPI 1063713758
About NPI 1881930006
Bethena M. Jackson, CSAC, LCAS-A's National Provider Identifier is 1881930006, issued on Dec 15, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Durham, NC. The record was last updated on Dec 15, 2012.