Individual
KENO D JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW,MSW
Contact information
Practice address
55 W WATERLOO RD, AKRON, OH 44319-1116
(330) 724-7715
Mailing address
55 W WATERLOO RD, AKRON, OH 44319-1116
(330) 724-7715
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
S.1701138
OH
Other
Enumeration date
11/15/2023
Last updated
11/15/2023
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