Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ISAAC L. JACKSON, LCAS-A
ActiveAddiction (Substance Use Disorder) Counselor · RAEFORD, NC
Registration Details
- NPI Number
- 1093066037
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 1, 2012 (13.569994118663 yrs)
- Last Updated
- Oct 1, 2012
- License
-
2199-A (NC)
Practice Information
- Address
-
113 W ELWOOD AVERAEFORD, NC, 283762801Browse NC providers · Browse ZIP 28376
- Phone
- 9108481638
- Fax
- 9108481639
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in RAEFORD, NC
| Name | Credential | NPI |
|---|---|---|
| MS. DEBORAH ANN FIKE | LCAS, CCS | 1356407977 |
| MR. ROBERT LAMONT SMITH SR. | MSW, LCSW, LCAS, CCS | 1447389853 |
| MRS. CHRISTINE L. ELLIOTT | LCAS | 1285855379 |
| MRS. CAROLYN FLOYD ROBINSON | LCAS, CCS, LCSWA | 1598932311 |
| MR. KANTRELL DESHAWN SHELTON | LCAS | 1770828998 |
| MRS. BEVERLY RENE ANDERSON | LCASA | 1518309160 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.