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Anna Jackson
Addiction (Substance Use Disorder) Counselor in Philadelphia, Pennsylvania
NPI 1891342804

Anna Jackson is an Addiction (Substance Use Disorder) Counselor based in Philadelphia, PA and is specialized in Addiction (Substance Use Disorder). Anna Jackson practices in Philadelphia, PA. The NPI Number for Anna Jackson is 1891342804 and holds a License No. (Pennsylvania).

The current practice location address for Anna Jackson is 112 N Broad St, Philadelphia, PA and can be reached out via phone at 215-568-0860.

Location: 112 N Broad St, Philadelphia, PA, 19102-1512
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891342804
Provider Name
Anna Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
112 N Broad St, Philadelphia, PA, 19102-1512
Phone Number
215-568-0860
Fax Number
Provider Enumeration Date
08/23/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
112 N Broad St
City
Philadelphia
State
Pennsylvania
Zip
19102-1512
Phone Number
215-568-0860
Fax Number
person
Provider Business Mailing Address Details
Address
112 N Broad St
City
Philadelphia
State
Pennsylvania
Zip
19102-1512
Phone Number
215-568-0860
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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