Individual provider · Type 1 NPI

Jeffrey Van Jackson Ii

Addiction (Substance Use Disorder) Counselor · Columbus, OH

NPI number 1396672945 Active

Practice location

3121 W Broad St
Columbus, OH 43204-1306

Call (614) 869-2002 Map

Fax (614) 792-6240

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.195931 (OH)

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

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About NPI 1396672945

Jeffrey Van Jackson Ii's National Provider Identifier is 1396672945, issued on May 7, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Columbus, OH. The record was last updated on May 7, 2026.