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JULIAN MYLES JACKSON
NPI 1356213169
Counselor - Addiction (Substance Use Disorder) in Suffolk, VA

Active since September 22, 2025
1258 HOLLAND RD, SUFFOLK, VA 23434(877) 848-9810 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Julian Myles Jackson NPPES

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

JULIAN MYLES JACKSON (NPI 1356213169) is an individual addiction (substance use disorder) provider in Suffolk, Virginia and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1356213169
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJULIAN MYLES JACKSON
Location Address1258 HOLLAND RDSuffolk, VA 23434-6313
Mailing Address622 Horse Camp LnChesapeake, VA 23323-5933 · (302) 494-5019
Phone(877) 848-9810
Sole ProprietorYes
Enumeration DateSeptember 22, 2025
NPPES CertifiedSeptember 22, 2025
✔ NPI 1356213169 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
1258 HOLLAND RD, Suffolk, VA 23434
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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.

MARY CATHERINE DILLARD
Registered Nurse
1258 HOLLAND RD
SUFFOLK, VA 23434
Suffolk City (757) 809-4771
PATRICIA BROWN
Counselor (Addiction (Substance Use Disorder))
1258 HOLLAND RD
SUFFOLK, VA 23434
Suffolk City (757) 809-4771
MISS TAKIMA SIMMONS LPC-R, CSAC-S
Counselor (Professional)
1258 HOLLAND RD
SUFFOLK, VA 23434
Suffolk City (800) 805-6989
ANTOINETTE L PORTER
Counselor (Addiction (Substance Use Disorder))
1258 HOLLAND RD
SUFFOLK, VA 23434
Suffolk City (757) 409-4771
PHILLIP EDWARD MAYBERY CSAC
Counselor
1258 HOLLAND RD
SUFFOLK, VA 23434
Suffolk City (757) 439-2698
CROSSROADS TREATMENT CENTER OF SUFFOLK, PC
Clinic/Center (Methadone)
1258 HOLLAND RD
SUFFOLK, VA 23434
Suffolk City (757) 809-4771
EBONY IRVIN CCMA
Physician Assistant (Medical)
1258 HOLLAND RD
SUFFOLK, VA 23434
Suffolk City (877) 848-9810
BEN DRAGAN ZORN
Counselor (Addiction (Substance Use Disorder))
1258 HOLLAND RD
SUFFOLK, VA 23434
Suffolk City (800) 805-6989

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 Julian Jackson's NPI number?

The NPI number for Julian Jackson is 1356213169. It was assigned to this individual provider in the NPPES registry on September 22, 2025.

Where is Julian Jackson located?

Julian Jackson practices at 1258 Holland Rd, Suffolk, VA 23434. The listed phone number is (877) 848-9810.

What is Julian 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 Julian Jackson was last updated on September 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.