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Individual
MORGAN JACKSON
Active
Individual
MORGAN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CDCA
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.168866
OH
163W00000X
Registered Nurse
Primary
RN.456286
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CDCA.168866
CHEMICAL DEPENDENCY PROFESSIONALS BOARD
OH
01
—
RN.456286
OHIO NURSING
OH
Enumeration date
12/17/2018
Last updated
10/09/2019
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