Individual
ALLANA NAMIAH JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSWA, LCASA
Contact information
Practice address
310 MURPHY DR, LEXINGTON, NC 27295-2100
(336) 224-1919
Mailing address
310 MURPHY DR, LEXINGTON, NC 27295-2100
(336) 224-1919
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
28406
NC
Other
Enumeration date
09/28/2022
Last updated
10/17/2023
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