Charlotte L Jackson in Monroe - Addiction (substance Use Disorder)
Charlotte L Jackson - NPI 1356528590
Charlotte L Jackson is a Addiction (substance Use Disorder) in Monroe, Michigan. Charlotte L Jackson practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Charlotte L Jackson is 1356528590. The last update date is 2008-01-30.
Charlotte L Jackson's current location address is 14733 S Telegraph Rd, Monroe, Michigan. You can contact this provider via phone number 7342438707 and fax number 7342438710. The mailing address for Charlotte L Jackson is 14733 S Telegraph Rd, Monroe, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charlotte L Jackson |
|---|---|
| Address | 14733 S Telegraph Rd, Monroe, Michigan |
| Phone Number | 7342438707 |
| Fax Number | 7342438710 |
| Sole Proprietor | N |
| Credentials | MS |
NPI Number Detail
| NPI Number | 1356528590 |
|---|---|
| Provider Enumeration Date | 2008-01-30 |
| Last Updated Date | 2008-01-30 |
Provider Mailing Address Detail
| Address | 14733 S Telegraph Rd |
|---|---|
| City | Monroe |
| State | Michigan (MI) |
| Post Code | 481619545 |
| Phone Number | 7342438707 |
| Fax Number | 7342438710 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2604097 | OH | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Charlotte L Jackson by the Centers for Medicare & Medicaid Services?
The Charlotte L Jackson has been issued the NPI (National Provider Identifier) 1356528590, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Charlotte L Jackson located?
The Charlotte L Jackson is located at 14733 S Telegraph Rd, Monroe, MI 481619545.
What is Charlotte L Jackson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Charlotte L Jackson's specialized field of practice is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of specialization is 101Ya0400X.
On what date did the Charlotte L Jackson receive the assignment of its 1356528590 from the Centers for Medicare & Medicaid Services?
The Charlotte L Jackson was issued its 1356528590 by the Centers for Medicare & Medicaid Services on 2008-01-30.
As of what date was the information regarding Charlotte L Jackson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Charlotte L Jackson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-01-30.