TERRANCE LAMONT JACKSON

CANTON, OH
NPI1467134544
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy305S00000X Point of Service
Additional Taxonomies101Y00000X Counselor
Enumeration Date2023-08-07
Last Update Date2023-08-07
Business Address
TERRANCE LAMONT JACKSON
2155 GEORGETOWN RD NE
CANTON, OH 44704-2257
Phone number: 816-377-7225
Mailing Address
TERRANCE LAMONT JACKSON
2155 GEORGETOWN RD NE
CANTON, OH 44704-2257
Phone number: 816-377-7225