Individual
JESSIE LEE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2233 ROCKY LN, ASHLAND, OH 44805-4701
(419) 281-3716
Mailing address
956 MARILYN DR, WOOSTER, OH 44691-1416
(330) 933-3935
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.0900273
OH
Other
Enumeration date
01/07/2013
Last updated
06/30/2022
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