Individual
MR. DAVID JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
720 VALDEZ DR APT B301, SALT LAKE CITY, UT 84113-1116
(602) 448-0147
Mailing address
720 VALDEZ DR APT B301, SALT LAKE CITY, UT 84113-1116
(602) 448-0147
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/10/2026
Last updated
02/10/2026
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