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1952751729
SHANTEL JACKSON
WORTHINGTON, OH
NPI
1952751729
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OH c.1000173)
Enumeration Date
2016-06-13
Last Update Date
2016-06-13
Business Address
-- SHANTEL JACKSON LPC
1033 HIGH ST
WORTHINGTON, OH 43085-4026
Phone number: 614-885-5020
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Mailing Address
-- SHANTEL JACKSON LPC
2027 HEATHCLIFF DR
COLUMBUS, OH 43209-3435
Phone number: 330-559-9342
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