AMANDA JACKSON

COLUMBUS, OH
NPI1649941576
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  CDCA194264)
Enumeration Date2021-09-21
Last Update Date2026-01-12
Business Address
AMANDA JACKSON
815 W BROAD ST STE 200
COLUMBUS, OH 43222-1465
Phone number: 614-717-0822
Mailing Address
AMANDA JACKSON
3180 DRAKE AVE
GROVEPORT, OH 43125-9006
Phone number: 614-625-4266
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