Joseph Granville Jackson, CCS, RAC
Joseph Granville Jackson, CCS, RAC is an Addiction (Substance Use Disorder) Counselor in Lake Providence, Louisiana. Licensed in Louisiana. Registered with an NPI since 2016.
- Licensed in
- LA
- In the registry since
- 2016
- Specialties on file
- 2
Practice location Address checks out
411 Sparrow StLake Providence, LA 71254-3035
Phone: (318) 559-3356
Fax: (318) 559-2044
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 186 (LA) |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X · Licence 1300 (LA) |
Record details
| NPI number | 1891152773 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CCS , RAC |
| Sole proprietor | No |
| NPI enumerated | January 22, 2016 |
| Last updated in NPPES | January 22, 2016 |