person
Diane M Jackson, CDCAII
Addiction (Substance Use Disorder) Counselor in Youngstown, Ohio
NPI 1447723994

Diane M Jackson is an Addiction (Substance Use Disorder) Counselor based in Youngstown, OH and is specialized in Addiction (Substance Use Disorder). Diane M Jackson practices in Youngstown, OH and has the professional credentials of CDCAII. The NPI Number for Diane M Jackson is 1447723994 and holds a License No. CDCA.169263 (Ohio).

The current practice location address for Diane M Jackson is 550 W Chalmers Ave, Youngstown, OH and can be reached out via phone at 330-259-8591 and via fax at 330-797-9146.

Location: 550 W Chalmers Ave, Youngstown, OH, 44509-1227
person
Provider Profile Details
NPI Number
1447723994
Provider Name
Diane M Jackson
Credential
CDCAII
Provider Entity Type
Individual
Gender
Female
Address
550 W Chalmers Ave, Youngstown, OH, 44509-1227
Phone Number
330-259-8591
Fax Number
330-797-9146
Provider Enumeration Date
01/08/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
550 W Chalmers Ave
City
State
Zip
44511-1576
Phone Number
330-259-8591
Fax Number
330-797-9146
person
Provider Business Mailing Address Details
Address
550 W Chalmers Ave
City
State
Zip
44511-1576
Phone Number
330-259-8591
Fax Number
330-797-9146
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CDCA.169263 (Ohio)
Definition
Definition to come...
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