Search › Mississippi › Addiction (Substance Use Disorder) Counselor
Russell Jackson
NPI 1164576476 · on the registry since 2007
Practice
- Address
- 920 Boone St
Tupelo, MS 38804 - Phone
- (662) 844-3531
- Fax
- (662) 844-1757
- Clinicians at this address
- 23
Registry record
- Primary taxonomy
- Addiction (Substance Use Disorder) Counselor
101YA0400X
- Sex
- Male
- Record last updated
- 2007-07-08
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 Mississippi