Autumn Marie Jackson
Autumn Marie Jackson is a Peer Specialist in Logan, Ohio. Licensed in Ohio. Registered with an NPI since 2022.
- Licensed in
- OH
- In the registry since
- 2022
Practice location Address checks out
549 E Frnt STLogan, OH 43138-1717
Phone: (740) 407-8697
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X · Licence APS.003224 (OH) |
|---|
Record details
| NPI number | 1053042887 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 22, 2022 |
| Last updated in NPPES | June 22, 2022 |
| Certification date | June 22, 2022 |
Other providers in Logan
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Elizabeth Marie Nicolia
507 W Frnt ST Apt 3, Logan, OH 43138-1638 · (740) 564-2037
-
Patrick Lloyd Nicolia
507 W Frnt ST Apt 3, Logan, OH 43138-1638 · (740) 240-8113