person
James L Jackson, MSW,LICDC
Mental Health Counselor in Columbus, Ohio
NPI 1598104044

James L Jackson is a Mental Health Counselor based in Columbus, OH and is specialized in Mental Health. James L Jackson practices in Columbus, OH and has the professional credentials of MSW,LICDC. The NPI Number for James L Jackson is 1598104044 and holds a License No. 101193 (Ohio).

The current practice location address for James L Jackson is 1515 E Broad St, Columbus, OH and can be reached out via phone at 614-294-5677.

Location: 1515 E Broad St, Columbus, OH, 43228-1550
person
Provider Profile Details
NPI Number
1598104044
Provider Name
James L Jackson
Credential
MSW,LICDC
Provider Entity Type
Individual
Gender
Male
Address
1515 E Broad St, Columbus, OH, 43228-1550
Phone Number
614-294-5677
Fax Number
Provider Enumeration Date
06/18/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
101193 01 OH LICDC
1101526 01 OH LSW
institution
Provider Business Practice Location Address Details
Address
1515 E Broad St
City
State
Zip
43205-1550
Phone Number
614-294-5677
Fax Number
person
Provider Business Mailing Address Details
Address
1515 E Broad St
City
State
Zip
43205-1550
Phone Number
614-294-5677
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
1101526 (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
101193 (Ohio)
Definition
Definition to come...
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