Individual provider · Type 1 NPI
Manzetta L. Jackson, PhD
Mental Health Counselor · Toledo, OH
NPI number
1659708618
Active
Practice location
4334 W Central Ave Ste 211
Toledo, OH 43615-1679
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | E.0005572-SUPV. (OH) |
| Professional Counselor | 101YP2500X | E.0005572-SUPV. (OH) |
Mental Health Counselor: Definition to come...
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About NPI 1659708618
Manzetta L. Jackson, PhD's National Provider Identifier is 1659708618, issued on Oct 3, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Toledo, OH. The record was last updated on Oct 3, 2013.