| Mr Derek Luther Jackson, BS | |
|
581 Highway J North, Hayti, MO 63851 | |
| (573) 359-2600 | |
| Not Available |
| Full Name | Mr Derek Luther Jackson |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 581 Highway J North, Hayti, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356859326 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Derek Luther Jackson, BS 581 Highway J North, Hayti, MO 63851 Ph: (573) 359-2600 | Mr Derek Luther Jackson, BS 581 Highway J North, Hayti, MO 63851 Ph: (573) 359-2600 |
Ronnie Sells, Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 Highway J, Hayti, MO 63851 Phone: 573-359-2600 | |
Rebecca Sue Shelton, LPC Counselor Medicare: Medicare Enrolled Practice Location: 500 Highway J, Hayti, MO 63851 Phone: 573-359-2600 | |
Doyletta Thrasher, Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 Highway J, Hayti, MO 63851 Phone: 573-359-2600 | |
Larry Hampton, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 Hwy J North, Hayti, MO 63851 Phone: 573-359-2600 Fax: 573-359-1103 | |
Jessica Marie Walker, RASAC 1 Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 Hwy J, Hayti, MO 63851 Phone: 573-359-2600 Fax: 573-359-1103 | |
Mrs. Maryann Hartsfield, CSAC II Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 Us Highway 61 N, Highway J, Hayti, MO 63851 Phone: 573-359-2600 Fax: 573-359-1103 |