Individual provider · Type 1 NPI

Amanda Jackson

Addiction (Substance Use Disorder) Counselor · Columbus, OH

NPI number 1649941576 Active

Practice location

815 W Broad St Ste 200
Columbus, OH 43222-1465

Mailing address

3180 Drake Ave
Groveport, OH 43125-9006

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA194264 (OH)

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

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About NPI 1649941576

Amanda Jackson's National Provider Identifier is 1649941576, issued on Sep 21, 2021. 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 Jan 12, 2026.