| John Archie Jackson Jr, | |
|
209 Martin Luther King Dr, Elizabethtown, NC 28337 | |
| (910) 247-6822 | |
| (910) 247-6829 |
| Full Name | John Archie Jackson Jr |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 209 Martin Luther King Dr, Elizabethtown, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801439799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1917 (North Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| John Archie Jackson Jr, 12500 Ormsby Dr, Laurinburg, NC 28352-7770 Ph: (910) 318-4008 | John Archie Jackson Jr, 209 Martin Luther King Dr, Elizabethtown, NC 28337 Ph: (910) 247-6822 |
Mrs. Jessica Lauren Eason, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1700 E Broad St, Elizabethtown, NC 28337 Phone: 910-876-3028 | |
Ms. Rebecca A Wray, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Mercer Mill Rd, Elizabethtown, NC 28337 Phone: 910-862-6263 | |
Meredith Dubose, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1001 W Broad St, Elizabethtown, NC 28337 Phone: 910-674-9261 | |
Megan Pierce, Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Mercer Mill Road, Elizabethtown, NC 28337 Phone: 910-862-6263 | |
Tara L Govan, LCAS 1917 Counselor Medicare: Not Enrolled in Medicare Practice Location: 209 Martin Luther King Jr. Dr., Elizabethtown, NC 28337 Phone: 910-247-6822 Fax: 910-247-6829 |