person
Irene Dormenie Jackson, LCAS-A
Addiction (Substance Use Disorder) Counselor in Durham, North Carolina
NPI 1053927723

Irene Dormenie Jackson is an Addiction (Substance Use Disorder) Counselor based in Durham, NC and is specialized in Addiction (Substance Use Disorder). Irene Dormenie Jackson practices in Durham, NC and has the professional credentials of LCAS-A. The NPI Number for Irene Dormenie Jackson is 1053927723 and holds a License No. LCAS-26084 (North Carolina).

The current practice location address for Irene Dormenie Jackson is 904 Woodgreen Dr, Durham, NC and can be reached out via phone at 919-641-8358.

Location: 904 Woodgreen Dr, Durham, NC, 27704-6034
person
Provider Profile Details
NPI Number
1053927723
Provider Name
Irene Dormenie Jackson
Credential
LCAS-A
Provider Entity Type
Individual
Gender
Female
Address
904 Woodgreen Dr, Durham, NC, 27704-6034
Phone Number
919-641-8358
Fax Number
Provider Enumeration Date
09/18/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
904 Woodgreen Dr
City
State
Zip
27704-6034
Phone Number
919-641-8358
Fax Number
person
Provider Business Mailing Address Details
Address
904 Woodgreen Dr
City
State
Zip
27704-6034
Phone Number
919-641-8358
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LCAS-26084 (North Carolina)
Definition
Definition to come...
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