ULYSSES D JACKSON

WADSWORTH, OH
NPI1942835467
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2020-03-04
Last Update Date2023-11-27
Business Address
Mr. ULYSSES D JACKSON
205 WADSWORTH RD
WADSWORTH, OH 44281-9580
Phone number: 234-217-8882
Mailing Address
Mr. ULYSSES D JACKSON
205 WADSWORTH RD
WADSWORTH, OH 44281-9580
Phone number: 330-564-5445
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