Individual
BRISHAUN KIAZ JOSHUA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
99 W SAINT CLAIR AVE APT 310, CLEVELAND, OH 44113-1534
(216) 971-0114
Mailing address
99 W SAINT CLAIR AVE APT 310, CLEVELAND, OH 44113-1534
(216) 971-0114
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/28/2025
Last updated
10/28/2025
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