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

Individual provider Specialist · NPI 1013160316

Mr. Douglas Clarence Jackson, SUBSTANCECOUNSELOR is a Specialist in Brooklyn, New York. Practices as a sole proprietor. Registered with an NPI since 2008.

In the registry since
2008
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Practice location Address checks out

2384 Atlantic Ave
Brooklyn, NY 11233-3402
Phone: (718) 495-0920
Fax: (718) 345-5468
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1013160316
Entity typeIndividual (Type 1)
GenderMale
Credentials SUBSTANCECOUNSELOR
Sole proprietorYes
NPI enumeratedOctober 30, 2008
Last updated in NPPESOctober 30, 2008

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