| Mr Isaac L Jackson, LCAS-A | |
|
113 W Elwood Ave, Raeford, NC 28376-2801 | |
| (910) 848-1638 | |
| (910) 848-1639 |
| Full Name | Mr Isaac L Jackson |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 113 W Elwood Ave, Raeford, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093066037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 2199-A (North Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Isaac L Jackson, LCAS-A 113 W Elwood Ave, Raeford, NC 28376-2801 Ph: (910) 848-1638 | Mr Isaac L Jackson, LCAS-A 113 W Elwood Ave, Raeford, NC 28376-2801 Ph: (910) 848-1638 |
Rhonda Peterson, MA, LPC-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 E Elwood Ave, Raeford, NC 28376 Phone: 910-875-8156 | |
Melinda Brown, BSW, LCASA Counselor Medicare: Not Enrolled in Medicare Practice Location: 402 Harris Ave, Raeford, NC 28376 Phone: 336-324-3845 | |
Tara Hollingsworth-pruitt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2148 Hwy 401 Bus, Raeford, NC 28376 Phone: 910-565-2857 Fax: 910-248-6258 | |
Ms. Kathleen Marie Richard, M.S. LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 316 Mcrae St, Raeford, NC 28376 Phone: 817-307-2496 Fax: 910-248-6649 | |
Mary Covington, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2194-a Hillcrest Plaza, Raeford, NC 28376 Phone: 910-904-2840 Fax: 910-904-2847 | |
Shonda Mciver, Counselor Medicare: Not Enrolled in Medicare Practice Location: 225 Aggies Ln, Raeford, NC 28376 Phone: 910-977-8599 Fax: 910-904-6699 | |
Nastasia Marie Street, Counselor Medicare: Not Enrolled in Medicare Practice Location: 402 Harris Ave, Raeford, NC 28376 Phone: 910-875-5590 Fax: 910-875-5008 |