person
Mr. Blaire Jackson, CAC
Addiction (Substance Use Disorder) Counselor in Tampa, Florida
NPI 1245599547

Blaire Jackson is an Addiction (Substance Use Disorder) Counselor based in Tampa, FL and is specialized in Addiction (Substance Use Disorder). Blaire Jackson practices in Tampa, FL and has the professional credentials of CAC. The NPI Number for Blaire Jackson is 1245599547 and holds a License No. CAC 1335 (Florida).

The current practice location address for Blaire Jackson is 5707 N 22Nd St, Tampa, FL and can be reached out via phone at 813-239-8069 and via fax at 813-239-8514. You can also correspond with Blaire Jackson through the mailing address at 5707 N 22ND ST, TAMPA, FL - 33610-4350 (mailing address contact number: 813-239-8069).

Location: 5707 N 22Nd St, Tampa, FL, 33610-4350
person
Provider Profile Details
NPI Number
1245599547
Provider Name
Blaire Jackson
Credential
CAC
Provider Entity Type
Individual
Gender
Male
Address
5707 N 22Nd St, Tampa, FL, 33610-4350
Phone Number
813-239-8069
Fax Number
813-239-8514
Provider Enumeration Date
05/08/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5707 N 22Nd St
City
State
Zip
33610-4350
Phone Number
813-239-8069
Fax Number
813-239-8514
person
Provider Business Mailing Address Details
Address
5707 N 22Nd St
City
State
Zip
33610-4350
Phone Number
813-239-8069
Fax Number
813-239-8514
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CAC 1335 (Louisiana)
Definition
Definition to come...
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