TAYANNA I JACKSON

CLEVELAND HEIGHTS, OH
NPI1245716646
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2018-07-18
Last Update Date2018-07-18
Business Address
TAYANNA I JACKSON
2490 LEE BLVD STE 103
CLEVELAND HEIGHTS, OH 44118-1255
Phone number: 216-835-5212
Mailing Address
TAYANNA I JACKSON
2490 LEE BLVD STE 103
CLEVELAND HEIGHTS, OH 44118-1255
Phone number: 216-835-5212
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