Individual
DAWN A JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3737 LANDER RD, PEPPER PIKE, OH 44124-5712
(216) 831-2255
(216) 378-3906
Mailing address
3737 LANDER RD, PEPPER PIKE, OH 44124-5712
(216) 831-2255
(216) 378-3906
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
C.0800348
OH
101YP2500X
Professional Counselor
Primary
C.0800348-CR
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0268768
—
OH
Enumeration date
02/25/2011
Last updated
02/25/2011
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