person
Miss Lena Citirah Jackson, LCAS
Addiction (Substance Use Disorder) Counselor in Dunn, North Carolina
NPI 1710107404

Lena Citirah Jackson is an Addiction (Substance Use Disorder) Counselor based in Newton Grove, NC and is specialized in Addiction (Substance Use Disorder). Lena Citirah Jackson practices in Dunn, NC and has the professional credentials of LCAS. The NPI Number for Lena Citirah Jackson is 1710107404 and holds a License No. (North Carolina).

The current practice location address for Lena Citirah Jackson is 3331 Easy St, Dunn, NC and can be reached out via phone at 910-567-5020 and via fax at 910-567-4389.

Location: 3331 Easy St, Dunn, NC, 28366-0227
person
Provider Profile Details
NPI Number
1710107404
Provider Name
Lena Citirah Jackson
Credential
LCAS
Provider Entity Type
Individual
Gender
Female
Address
3331 Easy St, Dunn, NC, 28366-0227
Phone Number
910-567-5020
Fax Number
910-567-4389
Provider Enumeration Date
04/26/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2211 01 NC NC LICENSE
18291 01 NC BCBSNC
institution
Provider Business Practice Location Address Details
Address
3331 Easy St
City
State
Zip
28334-7988
Phone Number
910-567-5020
Fax Number
910-567-4389
person
Provider Business Mailing Address Details
Address
3331 Easy St
City
State
Zip
28334-7988
Phone Number
910-567-5020
Fax Number
910-567-4389
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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