Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALICIA ALEXANDER JACKSON, LCAS
ActiveAddiction (Substance Use Disorder) Counselor · LUMBERTON, NC
Registration Details
- NPI Number
- 1629195466
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 26, 2007 (19.088011530323 yrs)
- Last Updated
- May 25, 2016
Practice Information
- Address
-
2003 GODWIN AVELUMBERTON, NC, 283583149Browse NC providers · Browse ZIP 28358
- Phone
- 9106711111
- Fax
- 9106714454
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in LUMBERTON, NC
| Name | Credential | NPI |
|---|---|---|
| MR. LARRY PITTMAN | — | 1063494938 |
| MR. GORDON HILTON SMITH | BS | 1588761886 |
| MR. GEORGE TIMOTHY HALL | M.DIV.,LCAS.,CCS | 1891819330 |
| MR. BARDEN GRIMES | LCAS.,CCS | 1154445609 |
| MR. EDWARD STEPHEN LYON | CCS, CSAC, CCJP | 1710108519 |
| MRS. LADONNA K BASS | LCAS | 1750550844 |
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.