Individual provider · Type 1 NPI

Tiesha K. Jackson

Addiction (Substance Use Disorder) Counselor · Dayton, OH

NPI number 1922570126 Active

Practice location

732 Beckman St
Dayton, OH 45410-2165

Call (937) 253-1680 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1922570126

Tiesha K. Jackson's National Provider Identifier is 1922570126, issued on Dec 28, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Dayton, OH. The record was last updated on Dec 28, 2018.