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Alvin Glen Jackson, LPC
Mental Health Counselor in Columbus, Ohio
NPI 1861915852

Alvin Glen Jackson is a Mental Health Counselor based in Detroit, OH and is specialized in Mental Health. Alvin Glen Jackson practices in Columbus, OH and has the professional credentials of LPC. The NPI Number for Alvin Glen Jackson is 1861915852 and holds a License No. C.1700707 (Ohio).

The current practice location address for Alvin Glen Jackson is 495 East Main Street, Columbus, OH and can be reached out via phone at 614-355-8055.

Location: 495 East Main Street, Columbus, OH, 48278-1625
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861915852
Provider Name
Alvin Glen Jackson
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
495 East Main Street, Columbus, OH, 48278-1625
Phone Number
614-355-8055
Fax Number
Provider Enumeration Date
07/21/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1473276 05 OH
institution
Provider Business Practice Location Address Details
Address
495 East Main Street
City
Columbus
State
Ohio
Zip
43215
Phone Number
614-355-8055
Fax Number
person
Provider Business Mailing Address Details
Address
495 East Main Street
City
Columbus
State
Ohio
Zip
43215
Phone Number
614-355-8055
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
C.1700707 (Ohio)
Definition
Definition to come...
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