Mr. Blaire Jackson, CAC
Mr. Blaire Jackson, CAC is an Addiction (Substance Use Disorder) Counselor in Tampa, Florida. Licensed in Louisiana. Registered with an NPI since 2012.
- Licensed in
- LA
- In the registry since
- 2012
Practice location Address checks out
5707 N 22nd StTampa, FL 33610-4350
Phone: (813) 239-8069
Fax: (813) 239-8514
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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 CAC 1335 (LA) |
|---|
Record details
| NPI number | 1245599547 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CAC |
| Sole proprietor | No |
| NPI enumerated | May 8, 2012 |
| Last updated in NPPES | July 14, 2015 |
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