CAMILLE JACKSON

PARMA, OH
NPI1790553204
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OH  CDCA.183689)
Enumeration Date2023-12-13
Last Update Date2023-12-19
Business Address
CAMILLE JACKSON
5850 RIDGE RD
PARMA, OH 44129-3169
Phone number: 440-990-4467
Mailing Address
CAMILLE JACKSON
4600 MONTGOMERY RD
CINCINNATI, OH 45212-2697
Phone number: 833-510-4357