Individual provider · Type 1 NPI

Susan Nicole Jackson, CADC-1

Addiction (Substance Use Disorder) Counselor · Las Vegas, NV

NPI number 1902580509 Active

Practice location

2887 S Maryland Pkwy
Las Vegas, NV 89109-1511

Call (702) 747-4104 Map

Fax (702) 474-4108

Mailing address

4929 Cascade Pools Ave
Las Vegas, NV 89131-3627

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X07309-I (NV)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1902580509

Susan Nicole Jackson, CADC-1's National Provider Identifier is 1902580509, issued on Jun 14, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Las Vegas, NV. The record was last updated on Jun 14, 2023.