Nannie Jackson
Nannie Jackson is an Addiction (Substance Use Disorder) Counselor in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2015.
- Licensed in
- AZ
- In the registry since
- 2015
Practice location Address checks out
9201 N 5th StPhoenix, AZ 85020-2532
Phone: (602) 331-5792
Fax: (602) 331-7855
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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 LISAC 11861 (AZ) |
|---|
Record details
| NPI number | 1467823435 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 15, 2015 |
| Last updated in NPPES | October 15, 2015 |
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