CHARLA JACKSON

Case Manager/Care Coordinator

Active Individual
NPI: 1467996017

Practice Address

4300 LYNN RD STE 201
Ravenna, OH 44266

Phone: (216) 264-0008

Specialties

Specialty Code Primary License
Counselor - Addiction (Substance Use Disorder) 101YA0400X No CDCA164081 (OH)
Case Manager/Care Coordinator 171M00000X Yes -

Frequently Asked Questions

NPI 1467996017 is the National Provider Identifier for CHARLA JACKSON, a Case Manager/Care Coordinator provider located in Ravenna, OH. This NPI was enumerated on December 15, 2016.
CHARLA JACKSON practices at 4300 LYNN RD STE 201, Ravenna, OH 44266.

Quick Facts

NPI
1467996017
Type
Individual
Enumerated
Dec 15, 2016
Last Updated
Jun 6, 2023

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