person
James Jackson
Peer Specialist in Buckhannon, West Virginia
NPI 1104511542

James Jackson is a Peer Specialist based in Buckhannon, WV. James Jackson practices in Buckhannon, WV. The NPI Number for James Jackson is 1104511542 and holds a License No. (West Virginia).

The current practice location address for James Jackson is 34 N Kanawha St, Buckhannon, WV and can be reached out via phone at 304-473-5600. You can also correspond with James Jackson through the mailing address at 34 N KANAWHA ST, BUCKHANNON, WV - 26201-2714 (mailing address contact number: 304-473-5600).

Location: 34 N Kanawha St, Buckhannon, WV, 26201-2714
person
Provider Profile Details
NPI Number
1104511542
Provider Name
James Jackson
Credential
Provider Entity Type
Individual
Gender
Male
Address
34 N Kanawha St, Buckhannon, WV, 26201-2714
Phone Number
304-473-5600
Fax Number
Provider Enumeration Date
04/11/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
34 N Kanawha St
City
State
Zip
26201-2714
Phone Number
304-473-5600
Fax Number
person
Provider Business Mailing Address Details
Address
34 N Kanawha St
City
State
Zip
26201-2714
Phone Number
304-473-5600
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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