Kevin D. Jackson
Kevin D. Jackson is a Peer Specialist in Yellow Springs, Ohio. Practices as a sole proprietor. Licensed in Ohio.
- Licensed in
- OH
- In the registry since
- 2021
Practice location Address checks out
502 S High St Apt DYellow Springs, OH 45387-1565
Phone: (937) 287-5353
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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 0002724 (OH) |
|---|
Record details
| NPI number | 1982376943 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 29, 2021 |
| Last updated in NPPES | September 29, 2021 |
| Certification date | September 28, 2021 |
| Mailing address | Po Box 751, Yellow Springs, OH 45387-0751 |
Other providers in Yellow Springs
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Deborah Jerison
277 Jacoby Rd, Yellow Springs, OH 45387-8792 · (937) 689-2926