Individual
DAMARIA EMAUNE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
10861 YANKEE ST, DAYTON, OH 45458-3574
(937) 619-0800
Mailing address
1522 N MAIN ST APT A, DAYTON, OH 45405-4152
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2204717
OH
Other
Enumeration date
02/07/2018
Last updated
12/09/2022
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