MR. Jackie Jerome Johnson, LCDC-I is an addiction (substance use disorder) counselor in Lubbock, TX. MR. Jackie Jerome Johnson, LCDC-I NPI is 1982114344. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1715 26TH ST
LUBBOCK, TX
ZIP 79411-524
Phone: (806) 780-8300
Fax: (806) 780-8383
The enumeration date for this NPI number is 10/11/2017 and was last updated on 10/11/2017.