person
David Alexander Jackson, PRSS
Peer Specialist in Charleston, West Virginia
NPI 1215625421

David Alexander Jackson is a Peer Specialist based in Charleston, WV. David Alexander Jackson practices in Charleston, WV and has the professional credentials of PRSS. The NPI Number for David Alexander Jackson is 1215625421 and holds a License No. 23-977 (West Virginia).

The current practice location address for David Alexander Jackson is 1303 Washington St W, Charleston, WV and can be reached out via phone at 304-553-0010 and via fax at 304-699-2141.

Location: 1303 Washington St W, Charleston, WV, 25302-1333
person
Provider Profile Details
NPI Number
1215625421
Provider Name
David Alexander Jackson
Credential
PRSS
Provider Entity Type
Individual
Gender
Male
Address
1303 Washington St W, Charleston, WV, 25302-1333
Phone Number
304-553-0010
Fax Number
304-699-2141
Provider Enumeration Date
04/26/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1303 Washington St W
City
State
Zip
25302-1333
Phone Number
304-553-0010
Fax Number
304-699-2141
person
Provider Business Mailing Address Details
Address
1303 Washington St W
City
State
Zip
25302-1333
Phone Number
304-553-0010
Fax Number
304-699-2141
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
23-977 (West Virginia)
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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