Individual provider · Type 1 NPI

Alyx Jackson, CDCA

Addiction (Substance Use Disorder) Counselor · Franklin Furnace, OH

NPI number 1710517404 Active

Practice location

303 Gervais Rd
Franklin Furnace, OH 45629-8742

Fax (740) 259-7003

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XCDCA.172454 (OH)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.172454 (OH)

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

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About NPI 1710517404

Alyx Jackson, CDCA's National Provider Identifier is 1710517404, issued on Jan 22, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Franklin Furnace, OH. The record was last updated on Sep 29, 2026.