Individual
JAMES L JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW,LICDC
Contact information
Practice address
PO BOX 13367, TOLEDO, OH 43613-0367
(616) 212-9802
Mailing address
PO BOX 13367, TOLEDO, OH 43613-0367
(616) 212-9802
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101193
OH
101YM0800X
Mental Health Counselor
Primary
1101526
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101193
LICDC
OH
01
—
1101526
LSW
OH
Enumeration date
06/18/2013
Last updated
02/24/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us