Mr. Jackie Jerome Johnson Sr., LCDC-I
Mr. Jackie Jerome Johnson Sr., LCDC-I is an Addiction (Substance Use Disorder) Counselor in Lubbock, Texas. Licensed in Texas. Registered with an NPI since 2017.
- Licensed in
- TX
- In the registry since
- 2017
Practice location Address checks out
1715 26th StLubbock, TX 79411-1524
Phone: (806) 780-8300
Fax: (806) 780-8383
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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 (TX) |
|---|
Record details
| NPI number | 1982114344 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LCDC-I |
| Sole proprietor | No |
| NPI enumerated | October 11, 2017 |
| Last updated in NPPES | October 11, 2017 |
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