Individual provider · Type 1 NPI

Terrie Jackson, CDCA / PEER SUPPORT

Peer Specialist · Cleveland, OH

NPI number 1134700677 Active

Practice location

2800 Riverside Ave
Cleveland, OH 44109-2324

Mailing address

3719 Denison Ave
Cleveland, OH 44109-2691

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X0002374 (OH)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1134700677

Terrie Jackson, CDCA / PEER SUPPORT's National Provider Identifier is 1134700677, issued on Apr 16, 2021. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Cleveland, OH. The record was last updated on Apr 16, 2021.