| Doctor Name: | DR. JAMES LLOYD JACKSON |
| NPI Number: | 1245218494 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | L.P.C. |
| License Number: | 2405 |
| Business Practice Address: | 66 Calmont Woods Dr Montevallo, AL - 351154348 |
| Business Phone Number: | 2058000215 |
| Business Fax Number: | |
| Mailing Address: | 66 Calmont Woods Dr, MONTEVALLO |
| State: | AL |
| Postal Code: | 351154348 |
| Phone Number: | 2058000215 |
| Fax Number: | |
| NPI Enumeration Date: | 01/06/2006 |
| NPI Last Update Date: | 10/08/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 2405 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |