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1467047613
VANESSA MICHELINE JACKSON
ASHTABULA, OH
NPI
1467047613
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-03-09
Last Update Date
2021-03-09
Business Address
VANESSA MICHELINE JACKSON
2801 C CT
ASHTABULA, OH 44004-4577
Phone number: 440-998-0722
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Mailing Address
VANESSA MICHELINE JACKSON
620 W 57TH ST
ASHTABULA, OH 44004-7114
Phone number: 440-813-8476
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