Organization · Type 2 NPI
Jackson Professional Serv LLC
Addiction (Substance Use Disorder) Counselor · Petersburg, VA
NPI number
1922761352
Active
Practice location
420 Pine Ridge Rd
Petersburg, VA 23805-1320
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
| Mental Health Counselor | 101YM0800X | None listed |
| Community Health Worker | 172V00000X | None listed |
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1922761352
Jackson Professional Serv LLC's National Provider Identifier is 1922761352, issued on Oct 21, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Petersburg, VA. The record was last updated on Oct 21, 2021.