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

Julian Myles Jackson

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1356213169

Julian Myles Jackson is an Addiction (Substance Use Disorder) Counselor in Suffolk, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2025

Practice location Address checks out

1258 Holland Rd
Suffolk, VA 23434-6313
Phone: (877) 848-9810
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 (VA)

Record details

NPI number1356213169
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 22, 2025
Last updated in NPPESSeptember 22, 2025
Certification dateSeptember 22, 2025

Other providers in Suffolk