Individual provider · Type 1 NPI

Michael Jackson, CT, CDCA

Addiction (Substance Use Disorder) Counselor · Canton, OH

NPI number 1730503822 Active

Practice location

1341 Market Ave N
Canton, OH 44714-2605

Call (330) 453-8252 Map

Fax (330) 453-6716

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X1300648 (OH)

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

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About NPI 1730503822

Michael Jackson, CT, CDCA's National Provider Identifier is 1730503822, issued on Feb 10, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Canton, OH. The record was last updated on Feb 10, 2014.