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

Camille Jackson

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1790553204

Camille Jackson is an Addiction (Substance Use Disorder) Counselor in Parma, Ohio. Licensed in Ohio. Registered with an NPI since 2023.

Licensed in
OH
In the registry since
2023
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Practice location Address checks out

5850 Ridge Rd
Parma, OH 44129-3169
Phone: (440) 990-4467
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CDCA.183689 (OH)

Record details

NPI number1790553204
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 13, 2023
Last updated in NPPESDecember 19, 2023
Certification dateDecember 19, 2023
Mailing address4600 Montgomery Rd, Cincinnati, OH 45212-2697

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