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Charles Bartlett Jackson JR.
Addiction (Substance Use Disorder) Counselor in Roxboro, North Carolina
NPI 1003149048

Charles Bartlett Jackson JR. is an Addiction (Substance Use Disorder) Counselor based in Roxboro, NC and is specialized in Addiction (Substance Use Disorder). Charles Bartlett Jackson JR. practices in Roxboro, NC. The NPI Number for Charles Bartlett Jackson JR. is 1003149048 and holds a License No. C007168 (North Carolina).

The current practice location address for Charles Bartlett Jackson JR. is 355 S Madison Blvd Ste C1, Roxboro, NC and can be reached out via phone at 336-599-8366 and via fax at 336-322-6168.

Location: 355 S Madison Blvd Ste C1, Roxboro, NC, 27573-5485
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003149048
Provider Name
Charles Bartlett Jackson JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
355 S Madison Blvd Ste C1, Roxboro, NC, 27573-5485
Phone Number
336-599-8366
Fax Number
336-322-6168
Provider Enumeration Date
09/09/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6112139 05 NC
institution
Provider Business Practice Location Address Details
Address
355 S Madison Blvd Ste C1
City
Roxboro
State
North Carolina
Zip
27573-5485
Phone Number
336-599-8366
Fax Number
336-322-6168
person
Provider Business Mailing Address Details
Address
355 S Madison Blvd Ste C1
City
Roxboro
State
North Carolina
Zip
27573-5485
Phone Number
336-599-8366
Fax Number
336-322-6168
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
1513 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
C007168 (North Carolina)
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
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