CHANTILLE JACKSON, MSW, LSW
Community/Behavioral Health
Active
Individual
NPI: 1578824447
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Community/Behavioral Health | 251S00000X | Yes | S.1101606 (OH) |
Frequently Asked Questions
NPI 1578824447 is the National Provider Identifier for CHANTILLE JACKSON, MSW, LSW, a Community/Behavioral Health provider located in Berea, OH. This NPI was enumerated on June 6, 2012.
CHANTILLE JACKSON, MSW, LSW practices at 202 E BAGLEY RD, Berea, OH 44017.
Quick Facts
- NPI
- 1578824447
- Type
- Individual
- Enumerated
- Jun 6, 2012
- Last Updated
- Jun 6, 2012
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