JAMES L JACKSON

COLUMBUS, OH
NPI1598104044
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OH  1101526)
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  101193)
Enumeration Date2013-06-18
Last Update Date2014-03-10
Business Address
-- JAMES L JACKSON MSW,LICDC
1515 E BROAD ST
COLUMBUS, OH 43205-1550
Phone number: 614-294-5677
Mailing Address
-- JAMES L JACKSON MSW,LICDC
3578 W. BROAD
COLUMBUS, OH 43228-1550
Phone number: 614-870-6670