Individual provider · Type 1 NPI

Renee M. Jackson

Mental Health Counselor · Cleveland, OH

NPI number 1962979658 Active

Practice location

860 E 222nd St
Cleveland, OH 44123-3317

Call (216) 447-9600 Map

Mailing address

7565 Granger Rd
Cleveland, OH 44125-4818

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XC.1801060 (OH)

Mental Health Counselor: Definition to come...

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About NPI 1962979658

Renee M. Jackson's National Provider Identifier is 1962979658, issued on Oct 31, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Cleveland, OH. The record was last updated on Oct 31, 2018.