Jackie Jerome Johnson Sr., LCDC-I
Counselor, Addiction (Substance Use Disorder) in Lubbock, TX. Individual provider (NPI-1).
NPI number1982114344
StatusActive
Last updated in NPPESOct 11, 2017
Details
- NPI
- 1982114344
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jackie Jerome Johnson Sr.
- Credential
- LCDC-I
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 11, 2017
- Last updated
- Oct 11, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | TX | Yes |
Practice location
1715 26th StLubbock, TX 79411-1524
Phone 806-780-8300 · Fax 806-780-8383
Mailing address
1715 26th StLubbock, TX 79411-1524
Phone 806-780-8300 · Fax 806-780-8383
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Addiction (Substance Use Disorder) Counselor providers in Lubbock, TX
- Rodolfo Arredondo, EDDNPI 1598741464
- Wade James Bagley, LCDCINPI 1184134553
- Ronnie Houston Batchelor, LCDCNPI 1760614952
- Lashonda Nicole Black, LCDC-INPI 1205346673
- Maria Stella Borromeo, LCDCNPI 1538671813
- John D Brown, LCDCNPI 1831422609
- Magan Brown, MSNPI 1679346530
- Terri N Brown, LCDCNPI 1497890776
- April BullardNPI 1386311983
- Angela Christine ByersNPI 1639250947
All 51 Addiction (Substance Use Disorder) Counselor providers in Lubbock · All 7,272 providers in Lubbock
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.