NPI 1780072736 DEBRA JACKSON LCSW JACKSONVILLE NC. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Debra Jackson - NPI: 1780072736

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: DEBRA JACKSON
NPI Number: 1780072736
Entity Type Code: Individual (1)
Gender: F
Credentials: LCSW
License Number: C008037
Business Practice Address: 824 Gum Branch Rd
Suite O Jacksonville, NC - 285406272
Business Phone Number: 9102656625
Business Fax Number:
Mailing Address: 143 Winter Rd,
JACKSONVILLE
State: NC
Postal Code: 285403911
Phone Number: 9102656625
Fax Number:
NPI Enumeration Date: 12/29/2014
NPI Last Update Date: 12/29/2014
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 101Y00000X
License Number: C008037
Healthcare Provider Taxonomy:
(Secondary)
Y
State: NC
Taxonomy Type: Behavioral Health & Social Service Providers
Taxonomy Classification: Counselor
Taxonomy Specialization:
Taxonomy Definition:
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master


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