Simone D Jackson
Simone D Jackson is an Addiction (Substance Use Disorder) Counselor in Cleveland, 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
1701 Payne AveCleveland, OH 44114-2909
Phone: (216) 910-9015
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence CDCA.192556 (OH) |
|---|---|
| Case Manager/Care Coordinator | Taxonomy 171M00000X |
Record details
| NPI number | 1467237180 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 30, 2023 |
| Last updated in NPPES | August 22, 2025 |
| Certification date | August 22, 2025 |
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