Individual provider · Type 1 NPI

Donna Jean Jackson, CDCA

Addiction (Substance Use Disorder) Counselor · Lorain, OH

NPI number 1821858556 Active

Practice location

2115 W Park Dr
Lorain, OH 44053-1138

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.187664 (OH)

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

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About NPI 1821858556

Donna Jean Jackson, CDCA's National Provider Identifier is 1821858556, issued on Mar 20, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lorain, OH. The record was last updated on Mar 20, 2024.