Kenneth D Jackson, CDCA
Kenneth D Jackson, CDCA is an Addiction (Substance Use Disorder) Counselor in Shelby, Ohio. Licensed in Ohio. Registered with an NPI since 2018.
- Licensed in
- OH
- In the registry since
- 2018
Practice location Address checks out
2775 State Route 39Shelby, OH 44875-9466
Phone: (419) 747-3322
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 166031 (OH) |
|---|
Record details
| NPI number | 1457857690 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CDCA |
| Sole proprietor | No |
| NPI enumerated | April 5, 2018 |
| Last updated in NPPES | April 5, 2018 |
| Mailing address | 2775 State Route 39, Shelby, OH 44875-9466 |
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Jeremy Inram, CDCA
2775 State Route 39, Shelby, OH 44875-9466 · (419) 747-3322
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Taylor Isaac
2775 State Route 39, Shelby, OH 44875-9466 · (419) 747-3322
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Tony A Jackson, CDCA
2775 State Route 39, Shelby, OH 44875-9466 · (419) 747-3322
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Caitlyn James
2775 State Route 39, Shelby, OH 44875-9466 · (419) 747-3322
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Ronda James
2775 State Route 39, Shelby, OH 44875-9466 · (419) 747-3322
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Emmanuel Jenkins
2775 State Route 39, Shelby, OH 44875-9466 · (419) 747-3322