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MR. BLAIRE JACKSON CAC
NPI 1245599547
Counselor - Addiction (Substance Use Disorder) in Tampa, FL

Active since May 08, 2012
5707 N 22ND ST, TAMPA, FL 33610(813) 239-8069(813) 239-8514 Get Directions Write a Review

NPPES record last updated: July 14, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Blaire Jackson Cac NPPES

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

MR. BLAIRE JACKSON CAC (NPI 1245599547) is an individual addiction (substance use disorder) provider in Tampa, Florida, licensed in Louisiana (CAC 1335) and active in the NPI registry since May 2012.

NPPES Registry Identity

NPI1245599547
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. BLAIRE JACKSONCredential: CAC
Location Address5707 N 22ND STTampa, FL 33610-4350
Mailing Address5707 N 22nd StTampa, FL 33610-4350 · (813) 239-8069 · Fax (813) 239-8514
Phone(813) 239-8069
Fax(813) 239-8514
Sole ProprietorNo
Enumeration DateMay 8, 2012
Last NPPES UpdateJuly 14, 2015
✔ NPI 1245599547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in LA · CAC 1335
5707 N 22ND ST, Tampa, FL 33610
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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.

DARLENE H ALLEN
Social Worker (Clinical)
5707 N 22ND ST
TAMPA, FL 33610
Hillsborough County (813) 239-8000
RANDY E ROBINSON
Social Worker
5707 N 22ND ST
TAMPA, FL 33610
Hillsborough County (813) 272-2878
TRACY LYNN GOELLNER BOHANNON
Social Worker
5707 N 22ND ST
TAMPA, FL 33610
Hillsborough County (813) 272-2878
MR. JESSE THOMAS RIVERA BA
Social Worker
5707 N 22ND ST
TAMPA, FL 33610
Hillsborough County (813) 239-8069
MARGARITA TREVINO
Social Worker
5707 N 22ND ST
TAMPA, FL 33610
Hillsborough County (813) 239-8447
BEATRIZ ALVAREZ
Social Worker
5707 N 22ND ST
TAMPA, FL 33610
Hillsborough County (813) 272-2244
MARGARET ALEJANDRO RIVERA MA
Community Health Worker
5707 N 22ND ST
TAMPA, FL 33610
Hillsborough County (813) 239-8069
ROSSMERY VILLAVICENCIO BA
Social Worker
5707 N 22ND ST
TAMPA, FL 33610
Hillsborough County (813) 239-8069

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 Blaire Jackson's NPI number?

The NPI number for Blaire Jackson is 1245599547. It was assigned to this individual provider in the NPPES registry on May 8, 2012.

Where is Blaire Jackson located?

Blaire Jackson practices at 5707 N 22nd St, Tampa, FL 33610. The listed phone number is (813) 239-8069.

What is Blaire Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Blaire Jackson was last updated on July 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.