Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. CAROL DENISE JACKSON, ACADC
Active Sole ProprietorAddiction (Substance Use Disorder) Counselor · DES MOINES, IA
Registration Details
- NPI Number
- 1487980652
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 23, 2009 (16.496379697342 yrs)
- Last Updated
- Oct 23, 2009
- License
-
92151 (IA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1522 17TH STREETDES MOINES, IA, 503140000Browse IA providers · Browse ZIP 50314
- Phone
- 5152790335
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in DES MOINES, IA
| Name | Credential | NPI |
|---|---|---|
| URIAH MCGEE | CADC | 1093895641 |
| TERRY ROBINSON | — | 1891877254 |
| TERRA ANNE CLEVELAND | CADC | 1437391869 |
| FREDRICK KNAPP | ACADC | 1487896841 |
| PATRICE A LARIMER | ACADC | 1144462516 |
| MR. AGAPITO PETE AGUILAR | CADC | 1639491533 |
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.