Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andre Jackson

Individual provider Community/Behavioral Health Agency · NPI 1386131308

Andre Jackson is a Community/Behavioral Health Agency in Holland, Ohio. Practices as a sole proprietor. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

7015 Spring Mdws W Ste 102
Holland, OH 43528-9299
Phone: (419) 491-1180
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X

Record details

NPI number1386131308
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 16, 2018
Last updated in NPPESApril 16, 2018
Mailing address3651 Wyckcliffe Parkway, Toledo, OH 43613

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