ALVIN GLEN JACKSON

COLUMBUS, OH
NPI1861915852
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OH  C.1700707)
Enumeration Date2017-07-21
Last Update Date2019-11-19
Business Address
ALVIN GLEN JACKSON LPC
495 EAST MAIN STREET
COLUMBUS, OH 43215
Phone number: 614-355-8055
Mailing Address
ALVIN GLEN JACKSON LPC
PO BOX 78000 DEPT 7816125
DETROIT, MI 48278-1625
Phone number: 614-355-8004
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