IndividualActive
Derek Jackson, B.S.
NPI 1356859326 · Addiction (Substance Use Disorder) Counselor · Hayti, MO
Provider details
- NPI number
- 1356859326
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- B.S.
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
581 Highway J North
Hayti, MO 63851
Phone: (573) 359-2600
Approximate (ZIP-level) locationGet directions
Mailing address
581 Highway J North
Hayti, MO 63851
Registry dates
- Enumerated
- 2018-01-12
- Last updated
- 2018-01-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.