Kyana L Jackson is a Peer Specialist based in Centerville, OH. Kyana L Jackson practices in Centerville, OH. The NPI Number for Kyana L Jackson is 1356859995 and holds a License No. (Ohio).
The current practice location address for Kyana L Jackson is 133 N Main St, Centerville, OH and can be reached out via phone at 937-433-3931.
Location: 133 N Main St, Centerville, OH, 45459-4620
Provider Profile Details
NPI Number
1356859995
Provider Name
Kyana L Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
133 N Main St, Centerville, OH, 45459-4620
Phone Number
937-433-3931
Fax Number
Provider Enumeration Date
01/17/2018
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
133 N Main St
City
State
Zip
45459-4620
Phone Number
937-433-3931
Fax Number
Provider Business Mailing Address Details
Address
133 N Main St
City
State
Zip
45459-4620
Phone Number
937-433-3931
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
(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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