Individual provider · Type 1 NPI

Teisha Jackson

Mental Health Counselor · Cleveland, OH

NPI number 1063989374 Active

Practice location

3100 Euclid Ave
Cleveland, OH 44115-2508

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1063989374

Teisha Jackson's National Provider Identifier is 1063989374, issued on Oct 25, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Cleveland, OH. The record was last updated on Oct 25, 2018.