Individual provider · Type 1 NPI

Michael Jackson, CASAC

Addiction (Substance Use Disorder) Counselor · Bronx, NY

NPI number 1922308550 Active

Practice location

1910 Arthur Ave
Bronx, NY 10457-6305

Call (718) 583-5150 Map

Fax (718) 731-2453

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X19006 (NY)

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

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About NPI 1922308550

Michael Jackson, CASAC's National Provider Identifier is 1922308550, issued on Oct 29, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bronx, NY. The record was last updated on Jan 25, 2017.