person
Jason Allen Jackson, CPSW
Peer Specialist in Albuquerque, New Mexico
NPI 1134782337

Jason Allen Jackson is a Peer Specialist based in Albuquerque, NM. Jason Allen Jackson practices in Albuquerque, NM and has the professional credentials of CPSW. The NPI Number for Jason Allen Jackson is 1134782337 and holds a License No. 816 (New Mexico).

The current practice location address for Jason Allen Jackson is 912 1St St Nw, Albuquerque, NM and can be reached out via phone at 505-224-9777 and via fax at 505-224-9779. You can also correspond with Jason Allen Jackson through the mailing address at 912 1ST ST NW, ALBUQUERQUE, NM - 87102-2355 (mailing address contact number: 505-224-9777).

Location: 912 1St St Nw, Albuquerque, NM, 87102-2355
person
Provider Profile Details
NPI Number
1134782337
Provider Name
Jason Allen Jackson
Credential
CPSW
Provider Entity Type
Individual
Gender
Male
Address
912 1St St Nw, Albuquerque, NM, 87102-2355
Phone Number
505-224-9777
Fax Number
505-224-9779
Provider Enumeration Date
04/15/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
912 1St St Nw
City
State
Zip
87102-2355
Phone Number
505-224-9777
Fax Number
505-224-9779
person
Provider Business Mailing Address Details
Address
912 1St St Nw
City
State
Zip
87102-2355
Phone Number
505-224-9777
Fax Number
505-224-9779
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
816 (New Mexico)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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