John Mark Jackson
John Mark Jackson is an Addiction (Substance Use Disorder) Counselor in Pueblo, Colorado. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
3470 Baltimore AvePueblo, CO 81008-1520
Phone: (719) 545-1181
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1235779166 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 8, 2020 |
| Last updated in NPPES | January 8, 2020 |
| Certification date | January 8, 2020 |
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Mrs. Andrea C Hernandez, CAS
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