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

MS. Bethena M Jackson, CSAC, LCAS-A

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1881930006

MS. Bethena M Jackson, CSAC, LCAS-A is an Addiction (Substance Use Disorder) Counselor in Durham, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2012

Practice location Address checks out

2604 Carver St Ste C
Durham, NC 27705-2796
Phone: (919) 682-4771
Fax: (919) 683-2641
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 · Licence 2421 (NC)

Record details

NPI number1881930006
Entity typeIndividual (Type 1)
GenderFemale
Credentials CSAC , LCAS-A
Sole proprietorYes
NPI enumeratedDecember 15, 2012
Last updated in NPPESDecember 15, 2012

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