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

David Alexander Jackson, PRSS

Individual provider Peer Specialist · NPI 1215625421

David Alexander Jackson, PRSS is a Peer Specialist in Charleston, West Virginia. Practices as a sole proprietor. Licensed in West Virginia.

Licensed in
WV
In the registry since
2023

Practice location Address checks out

1303 Washington St W
Charleston, WV 25302-1333
Phone: (304) 553-0010
Fax: (304) 699-2141
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 23-977 (WV)

Record details

NPI number1215625421
Entity typeIndividual (Type 1)
GenderMale
Credentials PRSS
Sole proprietorYes
NPI enumeratedApril 26, 2023
Last updated in NPPESApril 26, 2023
Certification dateApril 26, 2023

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