Individual
LINDA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7602 SLATE RIDGE BLVD, REYNOLDSBURG, OH 43068-8157
(614) 626-2696
(866) 820-4098
Mailing address
700 BROOKSEDGE BLVD, WESTERVILLE, OH 43081-2820
(614) 882-9338
(614) 882-3401
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C1700181
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/22/2016
Last updated
05/02/2017
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