GAIL JACKSON, MA

Counselor - Addiction (Substance Use Disorder)

Active Individual
NPI: 1417037185

Practice Address

BELMONT CENTER, 4200 MONUMENT ROAD
Philadelphia, PA 19131

Phone: (215) 581-5479

Specialties

Specialty Code Primary License
Counselor - Addiction (Substance Use Disorder) 101YA0400X Yes PC001382 (PA)

Frequently Asked Questions

NPI 1417037185 is the National Provider Identifier for GAIL JACKSON, MA, a Counselor - Addiction (Substance Use Disorder) provider located in Philadelphia, PA. This NPI was enumerated on October 17, 2006.
GAIL JACKSON, MA practices at BELMONT CENTER, 4200 MONUMENT ROAD, Philadelphia, PA 19131.

Quick Facts

NPI
1417037185
Type
Individual
Enumerated
Oct 17, 2006
Last Updated
Jul 8, 2007

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