Joseph Granville Jackson CCS, RAC

  • NPI 1891152773
According to our database, the NPI number for Joseph Granville Jackson CCS, RAC is 1891152773 and activated since 8 years ago. Joseph Granville Jackson CCS, RAC is an individual provider who specializes in Addiction (Substance Use Disorder), and the primary practice location is 411 Sparrow St, Lake Providence, LA 71254. You can also contact Joseph Granville Jackson CCS, RAC via telephone number is (318) 559-3356. Provider NPI information was last updated on 01/22/2016.

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Overview of Joseph Granville Jackson CCS, RAC

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 01/22/2016
  • Last updated: 01/22/2016

Primary Scrop of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 1300
  • License State: LA

Provider Mailing Address

  • Address: 706 Sparrow St
    Lake Providence, LA 71254
  • Phone: 318-559-3356
  • Fax: 318-559-2044

Provider Practice Location

  • Address: 411 Sparrow St
    Lake Providence, LA 71254
  • Phone: 318-559-3356
  • Fax: 318-559-2044

Scope of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 1300
  • License State: LA
  • Switch: No

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Joseph Granville Jackson CCS, RAC?
  • A: The npi number for Joseph Granville Jackson CCS, RAC is 1891152773.
  • Q: What are Joseph Granville Jackson CCS, RAC's specialties?
  • A: Joseph Granville Jackson CCS, RAC's specialties are Addiction (Substance Use Disorder) and different specialities.
  • Q: What is the medical license for Joseph Granville Jackson CCS, RAC?
  • A: The medical license number for Joseph Granville Jackson CCS, RAC is 1300 and issued in LA in USA.
  • Q: Where is Joseph Granville Jackson CCS, RAC practice location?
  • A: Joseph Granville Jackson CCS, RAC is practicing at 411 Sparrow St, Lake Providence, LA 71254.
  • Q: How to contact Joseph Granville Jackson CCS, RAC?
  • A: You can contact Joseph Granville Jackson CCS, RAC via 318-559-3356.