Individual
CURTIS D JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW, LCDCIII
Contact information
Practice address
13377 SMITH RD, MIDDLEBURG HEIGHTS, OH 44130-7810
(440) 340-5558
(440) 340-5575
Mailing address
13377 SMITH RD, MIDDLEBURG HEIGHTS, OH 44130-7810
(440) 340-5558
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
021097
OH
104100000X
Social Worker
S 1002048
OH
Other
Enumeration date
04/12/2016
Last updated
12/11/2023
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