Lee Jackson
Lee Jackson is a Peer Specialist in Berea, Ohio. Practices as a sole proprietor. Registered with an NPI since 2026.
- In the registry since
- 2026
Practice location Address checks out
343 W Bagley RdBerea, OH 44017-1370
Phone: (440) 260-6835
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1336092048 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 20, 2026 |
| Last updated in NPPES | February 20, 2026 |
| Certification date | February 20, 2026 |
| Mailing address | 343 W Bagley Rd, Berea, OH 44017-1370 |
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