Individual
MR. CURTIS A JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW,RCSWI,CCFC,CCBT
Contact information
Practice address
2901 W OAKLAND PARK BLVD, OAKLAND PARK, FL 33311
(954) 202-9334
Mailing address
2860 NW 187TH ST, MIAMI GARDENS, FL 33056-3131
(786) 991-6067
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
11760
FL
Other
Enumeration date
09/05/2014
Last updated
07/06/2018
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