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Search › North Carolina › Addiction (Substance Use Disorder) Counselor

Isaac Jackson, LCAS-A

NPI 1093066037 · on the registry since 2012

Practice

Address
113 W Elwood Ave
Raeford, NC 28376
Phone
(910) 848-1638
Fax
(910) 848-1639
Organisation at this address
Program Resource Institute, Inc.
Program Resource Institute, Inc.
Program Resource Institute, Inc.
Program Resource Institute, Inc.
Program Resource Institute, Inc.
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
Addiction (Substance Use Disorder) Counselor
101YA0400X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-10-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina