KYANA JACKSON

Peer Specialist

Active Individual
NPI: 1356859995

Practice Address

133 N MAIN ST
Centerville, OH 45459

Phone: (937) 433-3931

Specialties

Specialty Code Primary License
Peer Specialist 175T00000X Yes -

Frequently Asked Questions

NPI 1356859995 is the National Provider Identifier for KYANA JACKSON, a Peer Specialist provider located in Centerville, OH. This NPI was enumerated on January 17, 2018.
KYANA JACKSON practices at 133 N MAIN ST, Centerville, OH 45459.

Quick Facts

NPI
1356859995
Type
Individual
Enumerated
Jan 17, 2018
Last Updated
Jan 17, 2018

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