| Mr Martin Jackson Sr, MED, LADC | |
|
3 Barnard Ln, Suite 112, Bloomfield, CT 06002-2452 | |
| (860) 559-5759 | |
| (860) 559-5759 |
| Full Name | Mr Martin Jackson Sr |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 3 Barnard Ln, Bloomfield, Connecticut |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023319985 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 000158 (Connecticut) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Martin Jackson Sr, MED, LADC Po Box 467, Middletown, CT 06457-0467 Ph: (860) 559-5759 | Mr Martin Jackson Sr, MED, LADC 3 Barnard Ln, Suite 112, Bloomfield, CT 06002-2452 Ph: (860) 559-5759 |
Patrice Anthia Moulton, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3 Northwestern Dr, Bloomfield, CT 06002 Phone: 860-243-3477 Fax: 860-243-3224 | |
Mrs. Lissette Baez, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 693 Bloomfield Ave, Bloomfield, CT 06002 Phone: 860-243-6584 Fax: 860-243-6591 | |
Juan Hernandez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 693 Bloomfield Ave, Bloomfield, CT 06002 Phone: 860-731-5522 Fax: 860-731-5536 | |
Gail Rosenfeld, Counselor Medicare: Not Enrolled in Medicare Practice Location: 34 Wild Rose Ct, Bloomfield, CT 06002 Phone: 860-205-1743 | |
Tonya Gray, Counselor Medicare: Not Enrolled in Medicare Practice Location: 693 Bloomfield Ave, Bloomfield, CT 06002 Phone: 860-731-5522 Fax: 860-731-5536 | |
Joon Wilson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 693 Bloomfield Ave, Bloomfield, CT 06002 Phone: 860-731-5522 |