Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUSAN NICOLE JACKSON, CADC-1
ActiveSUSAN NICOLE JACKSON, CADC-1 is a Addiction (Substance Use Disorder) Counselor healthcare provider located in LAS VEGAS, Nevada. NPI 1902580509 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · LAS VEGAS, NV
Registration Details
- NPI Number
- 1902580509
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 14, 2023 (3.1569782574423 yrs)
- Last Updated
- Jun 14, 2023
- License
-
07309-I (NV)
Practice Information
- Address
-
2887 S MARYLAND PKWYLAS VEGAS, NV, 891091511Browse NV providers · Browse ZIP 89109
- Phone
- 7027474104
- Fax
- 7024744108
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in LAS VEGAS, NV
| Name | Credential | NPI |
|---|---|---|
| DR. KIM MARIE GRUM | LSUDC, CAADC, CRS | 1649271933 |
| MS. OMEGA JODEAN GALLIANO | M.S. | 1780665687 |
| DEBORA TRETIAK | M.S. | 1235177551 |
| MS. CHERYL CORNELIUS | MET | 1194755835 |
| FRANK KARR | LADC | 1093734824 |
| JANE MARIE SCHMIDT | L.A.D.C. | 1952312613 |
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.