Individual
EMILY ESTELLA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
5555 AIRPORT HWY STE 132, TOLEDO, OH 43615-7380
(567) 742-7200
(567) 742-7214
Mailing address
5555 AIRPORT HWY STE 132, TOLEDO, OH 43615-7380
(567) 742-7200
(567) 742-7214
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
174866
OH
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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