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

Susan Nicole Jackson, CADC-1

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1902580509

Susan Nicole Jackson, CADC-1 is an Addiction (Substance Use Disorder) Counselor in Las Vegas, Nevada. Licensed in Nevada. Registered with an NPI since 2023.

Licensed in
NV
In the registry since
2023

Practice location Address checks out

2887 S Maryland Pkwy
Las Vegas, NV 89109-1511
Phone: (702) 747-4104
Fax: (702) 474-4108
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 07309-I (NV)

Record details

NPI number1902580509
Entity typeIndividual (Type 1)
GenderFemale
Credentials CADC-1
Sole proprietorNo
NPI enumeratedJune 14, 2023
Last updated in NPPESJune 14, 2023
Certification dateJune 13, 2023

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