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Individual
MR. TORREAN DARNELL JACKSON
Active
Individual
MR. TORREAN DARNELL JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDCA
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA172985
OH
171M00000X
Case Manager/Care Coordinator
Primary
—
—
376K00000X
Nurse's Aide
401563210813
OH
Other
Enumeration date
10/18/2017
Last updated
04/07/2026
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