MR. Isaac L. Jackson, LCAS-A
NPI #1093066037 in Raeford, North Carolina
Provider Information
- NPI Number
- 1093066037
- Entity Type
- Individual
- Name
- MR. Isaac L. Jackson, LCAS-A
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- LCAS-A
- Enumeration Date
- Oct 1, 2012
- Last Updated
- Oct 1, 2012
Practice Location
- Address
- 113 W ELWOOD AVE
- City
- Raeford
- State
- North Carolina
- ZIP Code
- 28376-2801
- Phone
- (910) 848-1638
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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