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

Jeffrey Van Jackson II

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1396672945

Jeffrey Van Jackson II is an Addiction (Substance Use Disorder) Counselor in Columbus, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2026

Practice location Address checks out

3121 W Broad St
Columbus, OH 43204-1306
Phone: (614) 869-2002
Fax: (614) 792-6240
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.195931 (OH)

Record details

NPI number1396672945
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 7, 2026
Last updated in NPPESMay 7, 2026
Certification dateMay 7, 2026

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