Individual provider · Type 1 NPI

Shirron Gardner-Jackson, LCDCIII

Addiction (Substance Use Disorder) Counselor · Columbus, OH

NPI number 1548701170 Active

Practice location

4660 Roberts Rd
Columbus, OH 43228-9671

Call (513) 834-7063 Map

Fax (513) 873-1567

Mailing address

446 Morgan St
Cincinnati, OH 45206-2348

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLICDC162800 (OH)
Mental Health Counselor 101YM0800XLISW2608750 (OH)

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

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About NPI 1548701170

Shirron Gardner-Jackson, LCDCIII's National Provider Identifier is 1548701170, issued on Mar 15, 2017. 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 Sep 22, 2026.