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Jackson Wilson
Mental Health Counselor in Pataskala, Ohio
NPI 1790555811

Jackson Wilson is a Mental Health Counselor based in Pataskala, OH and is specialized in Mental Health. Jackson Wilson practices in Pataskala, OH. The NPI Number for Jackson Wilson is 1790555811 and holds a License No. (Ohio).

The current practice location address for Jackson Wilson is 82 Kelly Marie Dr, Pataskala, OH and can be reached out via phone at 614-315-9437.

Location: 82 Kelly Marie Dr, Pataskala, OH, 43062-8182
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790555811
Provider Name
Jackson Wilson
Credential
Provider Entity Type
Individual
Gender
Male
Address
82 Kelly Marie Dr, Pataskala, OH, 43062-8182
Phone Number
614-315-9437
Fax Number
Provider Enumeration Date
01/09/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
82 Kelly Marie Dr
City
Pataskala
State
Ohio
Zip
43062-8182
Phone Number
614-315-9437
Fax Number
person
Provider Business Mailing Address Details
Address
82 Kelly Marie Dr
City
Pataskala
State
Ohio
Zip
43062-8182
Phone Number
614-315-9437
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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