Individual provider · Type 1 NPI

Vanessa Micheline Jackson

Addiction (Substance Use Disorder) Counselor · Ashtabula, OH

NPI number 1467047613 Active

Practice location

2801 C Ct
Ashtabula, OH 44004-4577

Call (440) 998-0722 Map

Mailing address

620 W 57th St
Ashtabula, OH 44004-7114

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1467047613

Vanessa Micheline Jackson's National Provider Identifier is 1467047613, issued on Mar 9, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Ashtabula, OH. The record was last updated on Mar 9, 2021.