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Samantha Rae Jackson, LPC
Counselor in Chardon, Ohio
NPI 1245607357

Samantha Rae Jackson is a Counselor based in Akron, OH. Samantha Rae Jackson practices in Chardon, OH and has the professional credentials of LPC. The NPI Number for Samantha Rae Jackson is 1245607357 and holds a License No. C.1100378 (Ohio).

The current practice location address for Samantha Rae Jackson is 695 South St, Chardon, OH and can be reached out via phone at 440-286-1631.

Location: 695 South St, Chardon, OH, 44303-1412
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245607357
Provider Name
Samantha Rae Jackson
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
695 South St, Chardon, OH, 44303-1412
Phone Number
440-286-1631
Fax Number
Provider Enumeration Date
08/24/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
695 South St
City
Chardon
State
Ohio
Zip
44024-1474
Phone Number
440-286-1631
Fax Number
person
Provider Business Mailing Address Details
Address
695 South St
City
Chardon
State
Ohio
Zip
44024-1474
Phone Number
440-286-1631
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
C.1100378 (Ohio)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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