IndividualActive
Anita Graves-Jackson, CACI
NPI 1922615913 · Addiction (Substance Use Disorder) Counselor · Washington, DC
Provider details
- NPI number
- 1922615913
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- CACI
- Sex
- Female
- Sole proprietor
- Yes
- License
- CACI1116 (DC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
2041 Martin Luther King Jr Ave Se Fl 3
Washington, DC 20020-7024
Phone: (202) 889-7900
Approximate (ZIP-level) locationGet directions
Mailing address
2041 Martin Luther King Jr Ave Se Fl 3
Washington, DC 20020-7024
Registry dates
- Enumerated
- 2020-09-24
- Last updated
- 2020-09-24
- Certified
- 2020-09-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.