John Edward Jackson in Tamarac - Addiction (substance Use Disorder)
John Edward Jackson - NPI 1285853481
John Edward Jackson is a Addiction (substance Use Disorder) in Tamarac, Florida. John Edward Jackson practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for John Edward Jackson is 1285853481. The last update date is 2007-07-08.
John Edward Jackson's current location address is 6022 Nw 91st Way, Tamarac, Florida. You can contact this provider via phone number 9547205523. The mailing address for John Edward Jackson is 6022 Nw 91st Way, Tamarac, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | John Edward Jackson |
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Address | 6022 Nw 91st Way, Tamarac, Florida |
Phone Number | 9547205523 |
Fax Number | |
Sole Proprietor | Y |
Credentials | BS MS,LMHC |
NPI Number Detail
NPI Number | 1285853481 |
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Provider Enumeration Date | 2007-04-25 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 6022 Nw 91st Way |
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City | Tamarac |
State | Florida (FL) |
Post Code | 333214100 |
Phone Number | 9547205523 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Addiction (substance Use Disorder) |
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Taxonomy | 101Ya0400X |
Licence No | 3282 |
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to John Edward Jackson by the Centers for Medicare & Medicaid Services?
The John Edward Jackson has been issued the NPI (National Provider Identifier) 1285853481, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where John Edward Jackson is located?
The John Edward Jackson is situated at the following address: 6022 Nw 91St Way, Tamarac, FL, 333214100.
What is the John Edward Jackson's specialty and taxonomy code?
The John Edward Jackson's specialty is Addiction (substance Use Disorder), and the corresponding taxonomy code is 101Ya0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1285853481 to John Edward Jackson?
The Centers for Medicare & Medicaid Services originally issued the 1285853481 to John Edward Jackson on 2007-04-25.
When was the information regarding John Edward Jackson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to John Edward Jackson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
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