Provider Demographics
NPI:1740523984
Name:STEELMAN, JACKSON DAYTON (LPCA, LCASA)
Entity type:Individual
Prefix:MR
First Name:JACKSON
Middle Name:DAYTON
Last Name:STEELMAN
Suffix:
Gender:M
Credentials:LPCA, LCASA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 RAVENCROFT LN
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-2132
Mailing Address - Country:US
Mailing Address - Phone:828-676-0158
Mailing Address - Fax:
Practice Address - Street 1:1910A ASHEVILLE HWY
Practice Address - Street 2:
Practice Address - City:BREVARD
Practice Address - State:NC
Practice Address - Zip Code:28712-7763
Practice Address - Country:US
Practice Address - Phone:828-691-1441
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-05
Last Update Date:2013-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLCASA # 3068-A101YA0400X
NCLPCA # A9781101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)