Shirron Gardner-Jackson, LCDCIII
Shirron Gardner-Jackson, LCDCIII is an Addiction (Substance Use Disorder) Counselor in Columbus, Ohio. Licensed in Ohio. Registered with an NPI since 2017.
- Licensed in
- OH
- In the registry since
- 2017
- Specialties on file
- 2
Practice location Address checks out
4660 Roberts RdColumbus, OH 43228-9671
Phone: (513) 834-7063
Fax: (513) 873-1567
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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 LCDCIII.141283 (OH) |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X · Licence LCDCIII.141283 (OH) |
Record details
| NPI number | 1548701170 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LCDCIII |
| Sole proprietor | No |
| NPI enumerated | March 15, 2017 |
| Last updated in NPPES | November 13, 2019 |
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