Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

John Archie Jackson Jr.

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1801439799

John Archie Jackson Jr. is an Addiction (Substance Use Disorder) Counselor in Elizabethtown, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2019

Practice location Address checks out

209 Martin Luther King Dr
Elizabethtown, NC 28337
Phone: (910) 247-6822
Fax: (910) 247-6829
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 1917 (NC)

Record details

NPI number1801439799
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 23, 2019
Last updated in NPPESOctober 23, 2019

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