DOMINIQUE JACKSON

Peer Specialist

Active Individual
NPI: 1689426793

Practice Address

4114 E 141ST ST
Cleveland, OH 44128

Phone: (216) 501-3289

Specialties

Specialty Code Primary License
Case Manager/Care Coordinator 171M00000X No -
Adult Companion 372600000X No -
Nurse's Aide 376K00000X No -
Peer Specialist 175T00000X Yes APS.005574 (OH)

Frequently Asked Questions

NPI 1689426793 is the National Provider Identifier for DOMINIQUE JACKSON, a Peer Specialist provider located in Cleveland, OH. This NPI was enumerated on April 2, 2024.
DOMINIQUE JACKSON practices at 4114 E 141ST ST, Cleveland, OH 44128.

Quick Facts

NPI
1689426793
Type
Individual
Enumerated
Apr 2, 2024
Last Updated
Dec 2, 2024

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