Organization
FOCUSED ADDICTION RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES JACKSON (CCO)
(480) 520-7921
Entity
Organization
Contact information
Practice address
102 W MAIN ST, WALLACE, NC 28466-2902
(910) 788-4242
Mailing address
102 W MAIN ST, WALLACE, NC 28466-2902
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
01/29/2024
Last updated
08/30/2024
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