DONNA JEAN JACKSON

LORAIN, OH
NPI1821858556
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  CDCA.187664)
Enumeration Date2024-03-20
Last Update Date2024-03-20
Business Address
DONNA JEAN JACKSON CDCA
2115 W PARK DR
LORAIN, OH 44053-1138
Phone number: 440-989-4900
Mailing Address
DONNA JEAN JACKSON CDCA
2115 W PARK DR
LORAIN, OH 44053-1138
Phone number: 440-989-4900