person
Mr. Alonzo Jackson, LCDC
Addiction (Substance Use Disorder) Counselor in Austin, Texas
NPI 1720225113

Alonzo Jackson is an Addiction (Substance Use Disorder) Counselor based in Austin, TX and is specialized in Addiction (Substance Use Disorder). Alonzo Jackson practices in Austin, TX and has the professional credentials of LCDC. The NPI Number for Alonzo Jackson is 1720225113 and holds a License No. 9841 (Texas).

The current practice location address for Alonzo Jackson is 1643 E 2Nd St, Austin, TX and can be reached out via phone at 512-472-4357 and via fax at 512-476-0217.

Location: 1643 E 2Nd St, Austin, TX, 78704-2911
person
Provider Profile Details
NPI Number
1720225113
Provider Name
Alonzo Jackson
Credential
LCDC
Provider Entity Type
Individual
Gender
Male
Address
1643 E 2Nd St, Austin, TX, 78704-2911
Phone Number
512-472-4357
Fax Number
512-476-0217
Provider Enumeration Date
01/07/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1643 E 2Nd St
City
State
Zip
78702-4411
Phone Number
512-472-4357
Fax Number
512-476-0217
person
Provider Business Mailing Address Details
Address
1643 E 2Nd St
City
State
Zip
78702-4411
Phone Number
512-472-4357
Fax Number
512-476-0217
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
9841 (Texas)
Definition
Definition to come...
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