Individual provider · Type 1 NPI
Diane R. Jackson
Pastoral Counselor · Mansfield, OH
NPI number
1811056658
Active
Practice location
87 W 4th St
Mansfield, OH 44903-1672
Fax (419) 526-4603
Mailing address
PO Box 1573
Mansfield, OH 44901-1573
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | E.0003808-SUPV (OH) |
| Mental Health Counselor | 101YM0800X | E.0003808-SUPV (OH) |
| Pastoral Counselor Primary | 101YP1600X | E.0003808-SUPV (OH) |
Pastoral Counselor: Definition to come...
4 other providers at this address
Other pastoral counselor providers in Mansfield
About NPI 1811056658
Diane R. Jackson's National Provider Identifier is 1811056658, issued on Dec 7, 2006. The primary taxonomy on file is Pastoral Counselor (101YP1600X), and the practice location is in Mansfield, OH. The record was last updated on Sep 11, 2025.