Individual
ALICIA ALEXANDER JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAS
Contact information
Practice address
2003 GODWIN AVE, LUMBERTON, NC 28358-3149
(910) 671-1111
(910) 671-4454
Mailing address
570 POPE LAKE RD, PO BOX 473, ANGIER, NC 27501-5877
(910) 671-1111
(910) 671-4454
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/26/2007
Last updated
05/25/2016
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