TERRANCE JACKSON SR.

Point of Service

Active Individual
NPI: 1467134544

Practice Address

2155 GEORGETOWN RD NE
Canton, OH 44704

Phone: (816) 377-7225

Specialties

Specialty Code Primary License
Counselor 101Y00000X No -
Point of Service 305S00000X Yes -

Frequently Asked Questions

NPI 1467134544 is the National Provider Identifier for TERRANCE JACKSON SR., a Point of Service provider located in Canton, OH. This NPI was enumerated on August 7, 2023.
TERRANCE JACKSON SR. practices at 2155 GEORGETOWN RD NE, Canton, OH 44704.

Quick Facts

NPI
1467134544
Type
Individual
Enumerated
Aug 7, 2023
Last Updated
Aug 7, 2023

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