John Archie Jackson JR.

NPI #1801439799 in Elizabethtown, North Carolina

Provider Information

NPI Number: 1801439799
Entity Type: Individual
Name: John Archie Jackson JR.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Enumeration Date: Oct 23, 2019
Last Updated: Oct 23, 2019

Practice Location

Address: 209 MARTIN LUTHER KING DR
City: Elizabethtown
State: North Carolina
ZIP Code: 28337
Phone: (910) 247-6822

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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Organizations

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Omni Behavioral Services	Counselor - Addiction (Substance Use Disorder)	Elizabethtown	AI Deep Dive
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