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

Jabari Nagila Anderson, PRS, CDCA, QMHS

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1750155453

Jabari Nagila Anderson, PRS, CDCA, QMHS is an Addiction (Substance Use Disorder) Counselor in Cleveland, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2023

Practice location Address checks out

3305 Fulton Rd
Cleveland, OH 44109-1464
Phone: (914) 439-6065
Show map & directions

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.128189 (OH)

Record details

NPI number1750155453
Entity typeIndividual (Type 1)
GenderMale
Credentials PRS , CDCA , QMHS
Sole proprietorYes
NPI enumeratedNovember 13, 2023
Last updated in NPPESApril 29, 2025
Certification dateApril 29, 2025

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