person
Mr. Martin Jackson SR., MED,LADC
Addiction (Substance Use Disorder) Counselor in Bloomfield, Connecticut
NPI 1023319985

Martin Jackson SR. is an Addiction (Substance Use Disorder) Counselor based in Middletown, CT and is specialized in Addiction (Substance Use Disorder). Martin Jackson SR. practices in Bloomfield, CT and has the professional credentials of MED,LADC. The NPI Number for Martin Jackson SR. is 1023319985 and holds a License No. 000158 (Connecticut).

The current practice location address for Martin Jackson SR. is 3 Barnard Ln, Bloomfield, CT and can be reached out via phone at 860-559-5759 and via fax at 860-559-5759.

Location: 3 Barnard Ln, Bloomfield, CT, 06457-0467
person
Provider Profile Details
NPI Number
1023319985
Provider Name
Martin Jackson SR.
Credential
MED,LADC
Provider Entity Type
Individual
Gender
Male
Address
3 Barnard Ln, Bloomfield, CT, 06457-0467
Phone Number
860-559-5759
Fax Number
860-559-5759
Provider Enumeration Date
11/09/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3 Barnard Ln
City
State
Zip
06002-2452
Phone Number
860-559-5759
Fax Number
860-559-5759
person
Provider Business Mailing Address Details
Address
3 Barnard Ln
City
State
Zip
06002-2452
Phone Number
860-559-5759
Fax Number
860-559-5759
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
000158 (Connecticut)
Definition
Definition to come...
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