AUTUMN JACKSON

Peer Specialist

Active Individual
NPI: 1053042887

Practice Address

549 E FRONT ST
Logan, OH 43138

Phone: (740) 407-8697

Specialties

Specialty Code Primary License
Peer Specialist 175T00000X Yes APS.003224 (OH)

Frequently Asked Questions

NPI 1053042887 is the National Provider Identifier for AUTUMN JACKSON, a Peer Specialist provider located in Logan, OH. This NPI was enumerated on June 22, 2022.
AUTUMN JACKSON practices at 549 E FRONT ST, Logan, OH 43138.

Quick Facts

NPI
1053042887
Type
Individual
Enumerated
Jun 22, 2022
Last Updated
Jun 22, 2022

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