Individual provider · Type 1 NPI

Simone D. Jackson

Addiction (Substance Use Disorder) Counselor · Cleveland, OH

NPI number 1467237180 Active

Practice location

1701 Payne Ave
Cleveland, OH 44114-2909

Call (216) 910-9015 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.192556 (OH)
Case Manager/Care Coordinator 171M00000XNone listed

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

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About NPI 1467237180

Simone D. Jackson's National Provider Identifier is 1467237180, issued on Aug 30, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Cleveland, OH. The record was last updated on Aug 22, 2025.