Active NPIIndividual provider

Cherron Jackson

Counselor, Addiction (Substance Use Disorder) in Hartford, Connecticut

NPI Number1164880167
Practice location
55 Fishfry St, Hartford, CT 06120-1203
Fax
—
Last updated
February 23, 2016

Cherron Jackson is a Counselor, Addiction (Substance Use Disorder) based in Hartford, CT. Cherron Jackson practices in Hartford, CT. The NPI Number for Cherron Jackson is 1164880167. The current practice location address for Cherron Jackson is 55 Fishfry St, Hartford, CT 06120-1203 and can be reached out via phone at 860-247-8300.

Provider Profile Details

NPI Number
1164880167
Provider Name
Cherron Jackson
Provider Entity Type
Individual
Gender
Male
Address
55 Fishfry St, Hartford, CT 06120-1203
Phone Number
860-247-8300
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
No
Provider Enumeration Date
February 4, 2016
Last Update Date
February 23, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Fishfry St
Hartford, CT 06120-1203
Zip
06120-1203
Phone Number
860-247-8300
Hartford, CT 06120Get directions →

Provider Business Mailing Address Details

Address
55 Fishfry St
Hartford, CT 06120-1203
City
Hartford
State
CT
Zip
06120-1203

License Information

Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Counselor, Addiction (Substance Use Disorder) providers near Hartford, CT

View all Counselor, Addiction (Substance Use Disorder) providers in Hartford →

Frequently Asked Questions

What is the NPI number of Cherron Jackson?

The NPI number of Cherron Jackson is 1164880167. It was assigned on February 4, 2016 and is currently active in the NPPES registry.

What is the specialty of Cherron Jackson?

Cherron Jackson is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X).

Where does Cherron Jackson practice?

The practice location is 55 Fishfry St, Hartford, CT 06120-1203. The office can be reached at 860-247-8300 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164880167 directly on the NPPES registry website.

Browse related providers