David Isaac Jackson in Trenton - Addiction (substance Use Disorder)
David Isaac Jackson - NPI 1316017940
David Isaac Jackson is a Addiction (substance Use Disorder) in Trenton, New Jersey. David Isaac Jackson practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for David Isaac Jackson is 1316017940. The last update date is 2007-07-08.
David Isaac Jackson's current location address is 946 Edgewood Ave, Trenton, New Jersey. You can contact this provider via phone number 6093931626. The mailing address for David Isaac Jackson is 946 Edgewood Ave, Trenton, New Jersey. To know further, please read the information below!
Provider Profile Detail
Provider Name | David Isaac Jackson |
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Address | 946 Edgewood Ave, Trenton, New Jersey |
Phone Number | 6093931626 |
Fax Number | |
Sole Proprietor | Y |
Credentials | M.S.ED. |
NPI Number Detail
NPI Number | 1316017940 |
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Provider Enumeration Date | 2006-11-09 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 946 Edgewood Ave |
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City | Trenton |
State | New Jersey (NJ) |
Post Code | 86185304 |
Phone Number | 6093931626 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Addiction (substance Use Disorder) |
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Taxonomy | 101Ya0400X |
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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What is the unique 10-digit identifier code assigned to David Isaac Jackson by the Centers for Medicare & Medicaid Services?
The David Isaac Jackson has been issued the NPI (National Provider Identifier) 1316017940 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of David Isaac Jackson?
The David Isaac Jackson is physically situated at 946 Edgewood Ave, in the city of Trenton, state of NJ, with the postal code 86185304.
What is David Isaac Jackson's specialized field of practice, and what is the corresponding taxonomy classification code?
The David Isaac Jackson's area of specialization is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this field of practice is 101Ya0400X.
On what date did the David Isaac Jackson receive its 1316017940 assignment from the Centers for Medicare & Medicaid Services?
The David Isaac Jackson was assigned its 1316017940 by the Centers for Medicare & Medicaid Services on 2006-11-09.
As of what date were the details pertaining to David Isaac Jackson last refreshed?
The information related to the David Isaac Jackson, including its address, specialty, and other relevant details, was last updated on 2007-07-08.