person
John Archie Jackson JR.
Addiction (Substance Use Disorder) Counselor in Elizabethtown, North Carolina
NPI 1801439799

John Archie Jackson JR. is an Addiction (Substance Use Disorder) Counselor based in Laurinburg, NC and is specialized in Addiction (Substance Use Disorder). John Archie Jackson JR. practices in Elizabethtown, NC. The NPI Number for John Archie Jackson JR. is 1801439799 and holds a License No. 1917 (North Carolina).

The current practice location address for John Archie Jackson JR. is 209 Martin Luther King Dr, Elizabethtown, NC and can be reached out via phone at 910-247-6822 and via fax at 910-247-6829.

Location: 209 Martin Luther King Dr, Elizabethtown, NC, 28352-7770
person
Provider Profile Details
NPI Number
1801439799
Provider Name
John Archie Jackson JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
209 Martin Luther King Dr, Elizabethtown, NC, 28352-7770
Phone Number
910-247-6822
Fax Number
910-247-6829
Provider Enumeration Date
10/23/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
209 Martin Luther King Dr
City
State
Zip
28337
Phone Number
910-247-6822
Fax Number
910-247-6829
person
Provider Business Mailing Address Details
Address
209 Martin Luther King Dr
City
State
Zip
28337
Phone Number
910-247-6822
Fax Number
910-247-6829
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
1917 (North Carolina)
Definition
Definition to come...
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