Individual provider · Type 1 NPI

Lee Jackson

Peer Specialist · Berea, OH

NPI number 1336092048 Active

Practice location

343 W Bagley Rd
Berea, OH 44017-1370

Call (440) 260-6835 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

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 1336092048

Lee Jackson's National Provider Identifier is 1336092048, issued on Feb 20, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Berea, OH. The record was last updated on Feb 20, 2026.