John Mark Jackson, - Counselor in Pueblo, CO

John Mark Jackson, is a Counselor - Addiction (substance Use Disorder) based in Pueblo, Colorado. John Mark Jackson is licensed to practice in * (Not Available) (license number ) and his current practice location is 3470 Baltimore Ave, Pueblo, Colorado. He can be reached at his office (for appointments etc.) via phone at (719) 545-1181.

NPI number for John Mark Jackson is 1235779166 and his current mailing address is 208 Circle Dr W, Canon City, Colorado. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1235779166.

Contact Information

John Mark Jackson,
3470 Baltimore Ave,
Pueblo, CO 81008-1520
(719) 545-1181
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameJohn Mark Jackson
GenderMale
SpecialityCounselor - Addiction (substance Use Disorder)
Location3470 Baltimore Ave, Pueblo, Colorado
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1235779166
  • Provider Enumeration Date: 01/08/2020
  • Last Update Date: 01/08/2020

Medical Identifiers

Medical identifiers for John Mark Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235779166NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. John Mark Jackson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
John Mark Jackson,
208 Circle Dr W,
Canon City, CO 81212-2439

Ph: () -
John Mark Jackson,
3470 Baltimore Ave,
Pueblo, CO 81008-1520

Ph: (719) 545-1181

Reviews and Comments


Counselor in Pueblo, CO

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Phone: 719-545-2746    Fax: 719-584-0119

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