Individual provider · Type 1 NPI

Early Lee Jackson

Addiction (Substance Use Disorder) Counselor · Euclid, OH

NPI number 1427627744 Active

Practice location

22639 Euclid Ave
Euclid, OH 44117-1622

Mailing address

6137 Edward St Apt 202
Norfolk, VA 23513-1575

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X175805 (OH)

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

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About NPI 1427627744

Early Lee Jackson's National Provider Identifier is 1427627744, issued on Jun 21, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Euclid, OH. The record was last updated on Jun 21, 2021.