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Mr. Eric Gregory Jacklin, CAC,ICADC,MS,LADC
Substance Abuse Rehabilitation Facility in Farmington, Connecticut
NPI 1235725607

Eric Gregory Jacklin is a Substance Abuse Rehabilitation Facility based in Farmington, CT. Eric Gregory Jacklin practices in Farmington, CT and has the professional credentials of CAC,ICADC,MS,LADC. The NPI Number for Eric Gregory Jacklin is 1235725607 and holds a License No. (Connecticut).

The current practice location address for Eric Gregory Jacklin is 1789 New Britain Ave, Farmington, CT and can be reached out via phone at 860-754-3507. You can also correspond with Eric Gregory Jacklin through the mailing address at 1789 NEW BRITAIN AVE, FARMINGTON, CT - 06032-3317 (mailing address contact number: 860-754-3507).

Location: 1789 New Britain Ave, Farmington, CT, 06032-3317
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235725607
Provider Name
Eric Gregory Jacklin
Credential
CAC,ICADC,MS,LADC
Provider Entity Type
Individual
Gender
Male
Address
1789 New Britain Ave, Farmington, CT, 06032-3317
Phone Number
860-754-3507
Fax Number
Provider Enumeration Date
12/18/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1789 New Britain Ave
City
Farmington
State
Connecticut
Zip
06032-3317
Phone Number
860-754-3507
Fax Number
person
Provider Business Mailing Address Details
Address
1789 New Britain Ave
City
Farmington
State
Connecticut
Zip
06032-3317
Phone Number
860-754-3507
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
()
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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