Irene Dormenie Jackson, LCAS-A is an addiction (substance use disorder) counselor in Durham, NC. Irene Dormenie Jackson, LCAS-A NPI is 1053927723. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
904 WOODGREEN DR
DURHAM, NC
ZIP 27704-034
Phone: (919) 641-8358
The enumeration date for this NPI number is 9/18/2020 and was last updated on 9/18/2020.