Individual
DIANE R JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
87 W 4TH ST, MANSFIELD, OH 44903-1672
(419) 526-4603
(419) 526-4603
Mailing address
PO BOX 1573, MANSFIELD, OH 44901-1573
(419) 526-4603
(419) 526-4603
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
E.0003808-SUPV
OH
101YM0800X
Mental Health Counselor
E.0003808-SUPV
OH
101YP1600X
Pastoral Counselor
Primary
E.0003808-SUPV
OH
Other
Enumeration date
12/07/2006
Last updated
09/11/2025
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