person
Dr. Anita P Jackson, PHD
Professional Counselor in Zanesville, Ohio
NPI 1679620652

Anita P Jackson is a Professional Counselor based in Zanesville, OH and is specialized in Professional. Anita P Jackson practices in Zanesville, OH and has the professional credentials of PHD. The NPI Number for Anita P Jackson is 1679620652 and holds a License No. E1514 (Ohio).

The current practice location address for Anita P Jackson is 573 Brookover Ave, Zanesville, OH and can be reached out via phone at 740-450-7620 and via fax at 740-450-7618. You can also correspond with Anita P Jackson through the mailing address at 573 BROOKOVER AVE, ZANESVILLE, OH - 43701-2101 (mailing address contact number: 740-450-7620).

Location: 573 Brookover Ave, Zanesville, OH, 43701-2101
person
Provider Profile Details
NPI Number
1679620652
Provider Name
Anita P Jackson
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
573 Brookover Ave, Zanesville, OH, 43701-2101
Phone Number
740-450-7620
Fax Number
740-450-7618
Provider Enumeration Date
01/04/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
311814468031 01 OH CARESOURCE
000000517637 01 OH ANTHEM
institution
Provider Business Practice Location Address Details
Address
573 Brookover Ave
City
State
Zip
43701-2101
Phone Number
740-450-7620
Fax Number
740-450-7618
person
Provider Business Mailing Address Details
Address
573 Brookover Ave
City
State
Zip
43701-2101
Phone Number
740-450-7620
Fax Number
740-450-7618
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
E1514 (Ohio)
Definition
Definition to come...
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