Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Terrance Lamont Jackson Sr.

Individual provider Counselor · NPI 1467134544

Terrance Lamont Jackson Sr. is a Counselor in Canton, Ohio. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
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Practice location Address checks out

2155 Georgetown Rd NE
Canton, OH 44704-2257
Phone: (816) 377-7225
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Point of Service (primary) Taxonomy 305S00000X
Counselor Taxonomy 101Y00000X

Record details

NPI number1467134544
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 7, 2023
Last updated in NPPESAugust 7, 2023
Certification dateAugust 7, 2023

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