JOHNNY JACKSON III

Peer Specialist

Active Individual
NPI: 1336929884

Practice Address

6570 SOSNA DR
Fairfield, OH 45014

Phone: (513) 942-4673

Specialties

Specialty Code Primary License
Peer Specialist 175T00000X Yes APS.004453 (OH)
Case Manager/Care Coordinator 171M00000X No -

Frequently Asked Questions

NPI 1336929884 is the National Provider Identifier for JOHNNY JACKSON III, a Peer Specialist provider located in Fairfield, OH. This NPI was enumerated on October 3, 2023.
JOHNNY JACKSON III practices at 6570 SOSNA DR, Fairfield, OH 45014.

Quick Facts

NPI
1336929884
Type
Individual
Enumerated
Oct 3, 2023
Last Updated
Nov 16, 2023

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