Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATTHEW ADRIAN JACKMAN
Active Sole ProprietorMATTHEW ADRIAN JACKMAN is a Addiction (Substance Use Disorder) Counselor healthcare provider located in SALT LAKE CITY, Utah. NPI 1891071973 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · SALT LAKE CITY, UT
Registration Details
- NPI Number
- 1891071973
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 2, 2011 (14.764249022106 yrs)
- Last Updated
- Nov 2, 2011
- Sole Proprietor
- Yes
Practice Information
- Address
-
447 BEARCAT DRSALT LAKE CITY, UT, 841152519Browse UT providers · Browse ZIP 84115
- Phone
- 8013552846
- Fax
- 8013593244
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in SALT LAKE CITY, UT
| Name | Credential | NPI |
|---|---|---|
| STEPHANIE KILIAN | — | 1619949724 |
| MR. DALE WILLIAM STERNER | CAC | 1538101837 |
| MR. CHARLES W. TALCOTT | BA/LSAC | 1821020322 |
| MR. RONALD ELLIS POWELL | — | 1184869182 |
| MR. MICHAEL BRANNON PATRICK | C.S.W. | 1851532410 |
| MS. ALLISON WEAVER | L.A.D.C. | 1063640365 |
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.