Individual provider · Type 1 NPI

Joshua Jackson

Addiction (Substance Use Disorder) Counselor · Hamilton, OH

NPI number 1225622814 Active

Practice location

3103 Dixie Hwy
Hamilton, OH 45015-1653

Fax (513) 737-1107

Other practice locations

  • 446 Morgan St, Cincinnati, OH 45206-2348 · (833) 510-4357

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Peer Specialist 175T00000XNone listed
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.180460 (OH)

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

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About NPI 1225622814

Joshua Jackson's National Provider Identifier is 1225622814, issued on Feb 24, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Hamilton, OH. The record was last updated on Dec 5, 2022.