Individual provider · Type 1 NPI

Daniel S. Jackman, CDCA

Addiction (Substance Use Disorder) Counselor · Mansfield, OH

NPI number 1003318551 Active

Practice location

597 Park Ave E
Mansfield, OH 44905-2848

Fax (419) 774-3544

Mailing address

680 Park Ave W
Mansfield, OH 44906-3706

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.169811 (OH)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1003318551

Daniel S. Jackman, CDCA's National Provider Identifier is 1003318551, issued on Mar 1, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Mansfield, OH. The record was last updated on Feb 27, 2019.