Johnny Jackson III
Johnny Jackson III is a Peer Specialist in Fairfield, Ohio. Practices as a sole proprietor. Licensed in Ohio.
- Licensed in
- OH
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
6570 Sosna DrFairfield, OH 45014-2222
Phone: (513) 942-4673
Fax: (513) 860-1439
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X · Licence APS.004453 (OH) |
|---|---|
| Case Manager/Care Coordinator | Taxonomy 171M00000X |
Record details
| NPI number | 1336929884 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 3, 2023 |
| Last updated in NPPES | November 16, 2023 |
| Certification date | November 16, 2023 |
| Mailing address | 100 Crowne Point Pl, Cincinnati, OH 45241-5427 |
Other providers in Fairfield
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Anna Cox, CDCA
5108 Sandy Ln, Fairfield, OH 45014 · (513) 834-7063
-
Elizabeth Ann Herzner
1251 Nilles Rd Ste 5, Fairfield, OH 45014-7205 · (888) 830-0347
-
Michael May, CDCA
6570 Sosna Dr, Fairfield, OH 45014-2222 · (513) 942-4673
-
Jacqueline Valentin
5966 Boymel Dr Unit 1, Fairfield, OH 45014-5526 · (513) 880-0016