Individual
DR. JAMES JOSEPH JACKSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDC
Contact information
Practice address
3000 OAK SPRINGS DR, AUSTIN, TX 78702-2531
(512) 804-3523
(512) 804-3590
Mailing address
PO BOX 3548, AUSTIN, TX 78764-3548
(512) 804-3523
(512) 804-3590
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
7431
TX
Other
Enumeration date
06/29/2007
Last updated
07/08/2007
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