Individual provider · Type 1 NPI

Kelly Jackson

Addiction (Substance Use Disorder) Counselor · Highland Heights, OH

NPI number 1023985223 Active

Practice location

675 Alpha Dr Ste G
Highland Heights, OH 44143-2139

Call (440) 681-8169 Map

Specialties and licenses

TaxonomyCodeLicense
Case Management Agency 251B00000XNone listed
Health & Wellness Coach 171400000XNone listed
Community Health Worker 172V00000X003131 (OH)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X194356 (OH)

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

17 other providers at this address

Other addiction (substance use disorder) counselor providers in Highland Heights

See all in Highland Heights →

About NPI 1023985223

Kelly Jackson's National Provider Identifier is 1023985223, issued on Oct 21, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Highland Heights, OH. The record was last updated on May 19, 2026.