Individual
BRANDY JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
218 E NORTH ST, WAVERLY, OH 45690-1148
(740) 947-6727
Mailing address
218 E NORTH ST, WAVERLY, OH 45690-1148
(740) 947-6727
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/10/2026
Last updated
03/10/2026
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