person
Early Lee Jackson
Addiction (Substance Use Disorder) Counselor in Euclid, Ohio
NPI 1427627744

Early Lee Jackson is an Addiction (Substance Use Disorder) Counselor based in Norfolk, OH and is specialized in Addiction (Substance Use Disorder). Early Lee Jackson practices in Euclid, OH. The NPI Number for Early Lee Jackson is 1427627744 and holds a License No. 175805 (Ohio).

The current practice location address for Early Lee Jackson is 22639 Euclid Ave, Euclid, OH and can be reached out via phone at 216-404-1900.

Location: 22639 Euclid Ave, Euclid, OH, 23513-1575
person
Provider Profile Details
NPI Number
1427627744
Provider Name
Early Lee Jackson
Credential
Provider Entity Type
Individual
Gender
Male
Address
22639 Euclid Ave, Euclid, OH, 23513-1575
Phone Number
216-404-1900
Fax Number
Provider Enumeration Date
06/21/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
175805 05 OH
institution
Provider Business Practice Location Address Details
Address
22639 Euclid Ave
City
State
Zip
44117-1622
Phone Number
216-404-1900
Fax Number
person
Provider Business Mailing Address Details
Address
22639 Euclid Ave
City
State
Zip
44117-1622
Phone Number
216-404-1900
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
175805 (Ohio)
Definition
Definition to come...
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