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Jacob Jerry Jackson

Addiction Counselor (Substance Use Disorder)

1700 Helmer St
Sioux City , Iowa 51103-2834

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Jacob Jerry Jackson

Addiction Counselor (Substance Use Disorder)

1700 Helmer St
Sioux City , Iowa 51103-2834

(712) 223-1082

Write a Review Save Call

Jacob Jerry Jackson

Addiction Counselor (Substance Use Disorder)

1700 Helmer St
Sioux City , Iowa 51103-2834

(712) 223-1082 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Addiction Counselor (Substance Use Disorder)

Languages spoken

  • English

Location

1700 Helmer St Sioux City , Iowa 51103-2834

First Address

  • Jacob Jerry Jackson
  • 1700 Helmer St
  • Sioux City, IA
  • Zip : 51103-2834
  • Phone : (712) 223-1082

Second Address

  • Jacob Jerry Jackson
  • 1700 Helmer St
  • Sioux City, IA
  • Zip : 51103-2834
  • Phone : (712) 223-1082

Reviews

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FAQs


Where did Jacob Jerry Jackson attend graduate school?

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Where did Jacob Jerry Jackson do his residency?

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Where did Jacob Jerry Jackson do his fellowship?

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Is Jacob Jerry Jackson board certified?

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What type of doctor is Jacob Jerry Jackson

Addiction Counselor (Substance Use Disorder)

In what state does Jacob Jerry Jackson practice in?

Iowa

Where is Jacob Jerry Jackson ’s practice located?

1700 Helmer St , Sioux City, Iowa, 51103-2834

What is Jacob Jerry Jackson ’s gender?

Male

Is Jacob Jerry Jackson a sole practitioner?

No

Is Jacob Jerry Jackson accepting new patients?

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What languages does Jacob Jerry Jackson speak?

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Does Jacob Jerry Jackson accept insurance?

Yes, Jacob Jerry Jackson accepts insurance

Does Jacob Jerry Jackson offers telemedicine?

Jacob Jerry Jackson has not indicated if he offers telemedicine

What is Jacob Jerry Jackson ’s professional license number?

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What is Jacob Jerry Jackson ’s NPI number?

1003366329

Does Jacob Jerry Jackson have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 101YA0400X Addiction Counselor (Substance Use Disorder) 15081 IA

National Provider Identifier

NPI 1003366329
Provider Name Jacob Jerry Jackson
First Address Sioux City, IA 51103-2834
Second Address Sioux City, IA 51103-2834
Gender M
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 11/10/2016
Last Update Date 11/10/2016

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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