person
Mr. Isaac L. Jackson, LCAS-A
Addiction (Substance Use Disorder) Counselor in Raeford, North Carolina
NPI 1093066037

Isaac L. Jackson is an Addiction (Substance Use Disorder) Counselor based in Raeford, NC and is specialized in Addiction (Substance Use Disorder). Isaac L. Jackson practices in Raeford, NC and has the professional credentials of LCAS-A. The NPI Number for Isaac L. Jackson is 1093066037 and holds a License No. 2199-A (North Carolina).

The current practice location address for Isaac L. Jackson is 113 W Elwood Ave, Raeford, NC and can be reached out via phone at 910-848-1638 and via fax at 910-848-1639.

Location: 113 W Elwood Ave, Raeford, NC, 28376-2801
person
Provider Profile Details
NPI Number
1093066037
Provider Name
Isaac L. Jackson
Credential
LCAS-A
Provider Entity Type
Individual
Gender
Male
Address
113 W Elwood Ave, Raeford, NC, 28376-2801
Phone Number
910-848-1638
Fax Number
910-848-1639
Provider Enumeration Date
10/01/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
113 W Elwood Ave
City
State
Zip
28376-2801
Phone Number
910-848-1638
Fax Number
910-848-1639
person
Provider Business Mailing Address Details
Address
113 W Elwood Ave
City
State
Zip
28376-2801
Phone Number
910-848-1638
Fax Number
910-848-1639
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
2199-A (North Carolina)
Definition
Definition to come...
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