Individual provider · Type 1 NPI

Tyler Jackson

Peer Specialist · Cleveland, OH

NPI number 1598658783 Active

Practice location

2081 E 40th St
Cleveland, OH 44103-4331

Call (216) 536-3004 Map

Mailing address

2915 E 120th St
Cleveland, OH 44120-2607

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1598658783

Tyler Jackson's National Provider Identifier is 1598658783, issued on May 29, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Cleveland, OH. The record was last updated on May 29, 2025.