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Stephanie Jackson, OCPRS
Peer Specialist in Beachwood, Ohio
NPI 1215514120

Stephanie Jackson is a Peer Specialist based in Parma, OH. Stephanie Jackson practices in Beachwood, OH and has the professional credentials of OCPRS. The NPI Number for Stephanie Jackson is 1215514120 and holds a License No. 0002256 (Ohio).

The current practice location address for Stephanie Jackson is 25201 Chagrin Blvd Ste 390, Beachwood, OH and can be reached out via phone at 216-910-9015 and via fax at 216-910-9015. You can also correspond with Stephanie Jackson through the mailing address at 8414 WHITTINGTON DR, PARMA, OH - 44129-3516 (mailing address contact number: 440-732-1889).

Location: 25201 Chagrin Blvd Ste 390, Beachwood, OH, 44129-3516
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215514120
Provider Name
Stephanie Jackson
Credential
OCPRS
Provider Entity Type
Individual
Gender
Female
Address
25201 Chagrin Blvd Ste 390, Beachwood, OH, 44129-3516
Phone Number
216-910-9015
Fax Number
216-910-9015
Provider Enumeration Date
03/26/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
25201 Chagrin Blvd Ste 390
City
Beachwood
State
Ohio
Zip
44122-5637
Phone Number
216-910-9015
Fax Number
216-910-9015
person
Provider Business Mailing Address Details
Address
8414 Whittington Dr
City
Parma
State
Ohio
Zip
44129-3516
Phone Number
440-732-1889
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
0002256 (Ohio)
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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