Individual
DR. KATHERINE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., ATR-BC
Contact information
Practice address
23875 COMMERCE PARK, BEACHWOOD, OH 44122-5835
(216) 402-0336
Mailing address
23875 COMMERCE PARK, BEACHWOOD, OH 44122-5835
(216) 402-0336
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
90-057
OH
Other
Enumeration date
05/07/2022
Last updated
05/07/2022
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