person
Michael Jackson, CT,CDCA
Addiction (Substance Use Disorder) Counselor in Canton, Ohio
NPI 1730503822

Michael Jackson is an Addiction (Substance Use Disorder) Counselor based in Canton, OH and is specialized in Addiction (Substance Use Disorder). Michael Jackson practices in Canton, OH and has the professional credentials of CT,CDCA. The NPI Number for Michael Jackson is 1730503822 and holds a License No. 1300648 (Ohio).

The current practice location address for Michael Jackson is 1341 Market Ave N, Canton, OH and can be reached out via phone at 330-453-8252 and via fax at 330-453-6716.

Location: 1341 Market Ave N, Canton, OH, 44714-2605
person
Provider Profile Details
NPI Number
1730503822
Provider Name
Michael Jackson
Credential
CT,CDCA
Provider Entity Type
Individual
Gender
Male
Address
1341 Market Ave N, Canton, OH, 44714-2605
Phone Number
330-453-8252
Fax Number
330-453-6716
Provider Enumeration Date
02/10/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2901131 05 OH
institution
Provider Business Practice Location Address Details
Address
1341 Market Ave N
City
State
Zip
44714-2605
Phone Number
330-453-8252
Fax Number
330-453-6716
person
Provider Business Mailing Address Details
Address
1341 Market Ave N
City
State
Zip
44714-2605
Phone Number
330-453-8252
Fax Number
330-453-6716
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
1300648 (Ohio)
Definition
Definition to come...
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