Individual
CANDACE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
199 S CENTRAL AVE, COLUMBUS, OH 43223-1301
(614) 273-2273
Mailing address
199 S CENTRAL AVE, COLUMBUS, OH 43223-1301
(614) 273-2273
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C.1400060
—
Other
Enumeration date
10/22/2021
Last updated
05/04/2022
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