person
Nannie Jackson
Addiction (Substance Use Disorder) Counselor in Phoenix, Arizona
NPI 1467823435

Nannie Jackson is an Addiction (Substance Use Disorder) Counselor based in Phoenix, AZ and is specialized in Addiction (Substance Use Disorder). Nannie Jackson practices in Phoenix, AZ. The NPI Number for Nannie Jackson is 1467823435 and holds a License No. LISAC 11861 (Arizona).

The current practice location address for Nannie Jackson is 9201 N 5Th St, Phoenix, AZ and can be reached out via phone at 602-331-5792 and via fax at 602-331-7855.

Location: 9201 N 5Th St, Phoenix, AZ, 85027-4171
person
Provider Profile Details
NPI Number
1467823435
Provider Name
Nannie Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
9201 N 5Th St, Phoenix, AZ, 85027-4171
Phone Number
602-331-5792
Fax Number
602-331-7855
Provider Enumeration Date
10/15/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9201 N 5Th St
City
State
Zip
85020-2532
Phone Number
602-331-5792
Fax Number
602-331-7855
person
Provider Business Mailing Address Details
Address
9201 N 5Th St
City
State
Zip
85020-2532
Phone Number
602-331-5792
Fax Number
602-331-7855
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LISAC 11861 (Arizona)
Definition
Definition to come...
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