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Terrance Lamont Jackson SR.
Point of Service in Canton, Ohio
NPI 1467134544

Terrance Lamont Jackson SR. is a Point of Service based in Canton, OH. Terrance Lamont Jackson SR. practices in Canton, OH. The NPI Number for Terrance Lamont Jackson SR. is 1467134544 and holds a License No. (Ohio).

The current practice location address for Terrance Lamont Jackson SR. is 2155 Georgetown Rd Ne, Canton, OH and can be reached out via phone at 816-377-7225.

Location: 2155 Georgetown Rd Ne, Canton, OH, 44704-2257
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467134544
Provider Name
Terrance Lamont Jackson SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
2155 Georgetown Rd Ne, Canton, OH, 44704-2257
Phone Number
816-377-7225
Fax Number
Provider Enumeration Date
08/07/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2155 Georgetown Rd Ne
City
Canton
State
Ohio
Zip
44704-2257
Phone Number
816-377-7225
Fax Number
person
Provider Business Mailing Address Details
Address
2155 Georgetown Rd Ne
City
Canton
State
Ohio
Zip
44704-2257
Phone Number
816-377-7225
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
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.
person
Provider's Taxonomy Details 2
Type
Managed Care Organizations
Classification
Point of Service
Speciality
-
Taxonomy
305S00000X
License No.
()
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
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