person
John Mark Jackson
Addiction (Substance Use Disorder) Counselor in Pueblo, Colorado
NPI 1235779166

John Mark Jackson is an Addiction (Substance Use Disorder) Counselor based in Canon City, CO and is specialized in Addiction (Substance Use Disorder). John Mark Jackson practices in Pueblo, CO. The NPI Number for John Mark Jackson is 1235779166 and holds a License No. (Colorado).

The current practice location address for John Mark Jackson is 3470 Baltimore Ave, Pueblo, CO and can be reached out via phone at 719-545-1181.

Location: 3470 Baltimore Ave, Pueblo, CO, 81212-2439
person
Provider Profile Details
NPI Number
1235779166
Provider Name
John Mark Jackson
Credential
Provider Entity Type
Individual
Gender
Male
Address
3470 Baltimore Ave, Pueblo, CO, 81212-2439
Phone Number
719-545-1181
Fax Number
Provider Enumeration Date
01/08/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3470 Baltimore Ave
City
State
Zip
81008-1520
Phone Number
719-545-1181
Fax Number
person
Provider Business Mailing Address Details
Address
3470 Baltimore Ave
City
State
Zip
81008-1520
Phone Number
719-545-1181
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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