Individual provider · Type 1 NPI
Kevin D. Jackson
Peer Specialist · Yellow Springs, OH
NPI number
1982376943
Active
Practice location
502 S High St Apt D
Yellow Springs, OH 45387-1565
Mailing address
PO Box 751
Yellow Springs, OH 45387-0751
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | 0002724 (OH) |
Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Other peer specialist providers in Yellow Springs
About NPI 1982376943
Kevin D. Jackson's National Provider Identifier is 1982376943, issued on Sep 29, 2021. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Yellow Springs, OH. The record was last updated on Sep 29, 2021.