Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ERIC GREGORY JACKLIN, CAC, ICADC, MS, LADC
Active Sole ProprietorAddiction (Substance Use Disorder) Counselor · FARMINGTON, CT
Registration Details
- NPI Number
- 1235725607
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 18, 2020 (5.3431619155316 yrs)
- Last Updated
- Feb 17, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
1789 NEW BRITAIN AVEFARMINGTON, CT, 060323317Browse CT providers · Browse ZIP 06032
- Phone
- 8607543507
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
- Additional Specialty
- Substance Abuse Rehabilitation Facility
Other Addiction (Substance Use Disorder) Counselor Providers in FARMINGTON, CT
| Name | Credential | NPI |
|---|---|---|
| MR. PAUL NYKLICEK | LMFT, LADC | 1053473744 |
| MR. JIM P MOUTINHO | MS LPC LADC NCC | 1932255726 |
| AMANDA BEGIN | MA, LADC | 1992335616 |
| KARLA DUNKLEY | LADC | 1538876735 |
| MS. CHARLATTA V JONES | LADC, LMSW | 1841015377 |
| MRS. KATHLEEN DANIELS | STUDENT | 1578429007 |
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.