TRACEY JACKSON
Counselor - Addiction (Substance Use Disorder)
Active
Individual
NPI: 1902074545
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | Yes | - |
Frequently Asked Questions
NPI 1902074545 is the National Provider Identifier for TRACEY JACKSON, a Counselor - Addiction (Substance Use Disorder) provider located in Wilmington, DE. This NPI was enumerated on February 18, 2008.
TRACEY JACKSON practices at 2814 W 2ND ST, Wilmington, DE 19805.
Quick Facts
- NPI
- 1902074545
- Type
- Individual
- Enumerated
- Feb 18, 2008
- Last Updated
- Feb 18, 2008
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