MR. DOUGLAS CLARENCE JACKSON SUBSTANCE COUNSELOR
NPI 1013160316
Specialist in Brooklyn, NY

Active since October 30, 2008
2384 ATLANTIC AVE, BROOKLYN, NY 11233(718) 495-0920(718) 345-5468 Get Directions Write a Review

NPPES record last updated: October 30, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Douglas Clarence Jackson Substance Counselor NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DOUGLAS CLARENCE JACKSON SUBSTANCE COUNSELOR (NPI 1013160316) is an individual specialist in Brooklyn, New York and active in the NPI registry since October 2008.

NPPES Registry Identity

NPI1013160316
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMR. DOUGLAS CLARENCE JACKSONCredential: SUBSTANCE COUNSELOR
Location Address2384 ATLANTIC AVEBrooklyn, NY 11233-3402
Mailing Address2384 Atlantic AveBrooklyn, NY 11233-3402 · (718) 495-0920 · Fax (718) 345-5468
Fax(718) 345-5468
Sole ProprietorYes
Enumeration DateOctober 30, 2008
NPI 1013160316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

2384 ATLANTIC AVE, Brooklyn, NY 11233

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
2384 ATLANTIC AVE
BROOKLYN, NY 11233
Community/Behavioral Health
2384 ATLANTIC AVE
BROOKLYN, NY 11233
Registered Nurse
2384 ATLANTIC AVE, 4TH FLOOR
BROOKLYN, NY 11233
Registered Nurse
2384 ATLANTIC AVE
BROOKLYN, NY 11233
Nurse Practitioner (Psychiatric/Mental Health)
2384 ATLANTIC AVE
BROOKLYN, NY 11233
Student in an Organized Health Care Education/Training Program
2384 ATLANTIC AVE
BROOKLYN, NY 11233
Social Worker
2384 ATLANTIC AVE, 4TH FLOOR
BROOKLYN, NY 11233
Community/Behavioral Health
2384 ATLANTIC AVE
BROOKLYN, NY 11233

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Douglas Jackson's NPI number?

The NPI number for Douglas Jackson is 1013160316. It was assigned to this individual provider in the NPPES registry on October 30, 2008.

Where is Douglas Jackson located?

Douglas Jackson practices at 2384 Atlantic Ave, Brooklyn, NY 11233. The listed phone number is (718) 495-0920.

What is Douglas Jackson's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Douglas Jackson was last updated on October 30, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.