JOHN ARCHIE JACKSON

ELIZABETHTOWN, NC
NPI1801439799
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC  1917)
Enumeration Date2019-10-23
Last Update Date2019-10-23
Business Address
JOHN ARCHIE JACKSON
209 MARTIN LUTHER KING DR
ELIZABETHTOWN, NC 28337
Phone number: 910-247-6822
Mailing Address
JOHN ARCHIE JACKSON
12500 ORMSBY DR
LAURINBURG, NC 28352-7770
Phone number: 910-318-4008
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