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

Evan Jackson, PC-CR

Individual provider Professional Counselor · NPI 1902290497

Evan Jackson, PC-CR is a Professional Counselor in Sidney, Ohio. Licensed in Ohio. Registered with an NPI since 2015.

Licensed in
OH
In the registry since
2015

Practice location Address checks out

1101 N Vandemark Rd
Sidney, OH 45365-3567
Phone: (937) 492-8080
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence C09000163 (OH)

Record details

NPI number1902290497
Entity typeIndividual (Type 1)
GenderMale
Credentials PC-CR
Sole proprietorNo
NPI enumeratedMarch 24, 2015
Last updated in NPPESMarch 24, 2015
Mailing address1101 N Vandemark Rd, Sidney, OH 45365-3567

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