Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DEREK LUTHER JACKSON, B.S.
ActiveMR. DEREK LUTHER JACKSON, B.S. is a Addiction (Substance Use Disorder) Counselor healthcare provider located in HAYTI, Missouri. NPI 1356859326 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · HAYTI, MO
Registration Details
- NPI Number
- 1356859326
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 12, 2018 (8.5808784651776 yrs)
- Last Updated
- Jan 12, 2018
Practice Information
- Address
-
581 HIGHWAY J NORTHHAYTI, MO, 63851Browse MO providers · Browse ZIP 63851
- Phone
- 5733592600
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in HAYTI, MO
| Name | Credential | NPI |
|---|---|---|
| MS. DEBORAH JUNE FAULKNER | RASAC II | 1700086931 |
| DEBRA HAMPTON | CRADC | 1689820771 |
| CARLA WELCH | CSAC II | 1639324361 |
| JONATHAN HARLESS | RASAC | 1538314265 |
| LARRY HAMPTON | CSAC | 1184879819 |
| ANITA LADAWN LOONEY | RASAC II | 1598900540 |
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.