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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JOSEPH JACKSON, CDCA

Active Sole Proprietor

JOSEPH JACKSON, CDCA is a Substance Abuse Rehabilitation Facility healthcare provider located in WARREN, Ohio. NPI 1427539519 is currently active in the NPPES registry. Verify at CMS.

Substance Abuse Rehabilitation Facility · WARREN, OH

Registration Details

NPI Number
1427539519
Provider Type
Individual
Gender
Male
NPI Issued
Aug 27, 2018 (7.9518816857691 yrs)
Last Updated
Jan 21, 2024
License
167972 (OH)
Sole Proprietor
Yes

Practice Information

Address
2737 YOUNGSTOWN RD SE
WARREN, OH, 444845002
Browse OH providers · Browse ZIP 44484
Phone
3303698022
Primary Specialty
Substance Abuse Rehabilitation Facility
324500000X

Other Substance Abuse Rehabilitation Facility Providers in WARREN, OH

Name Credential NPI
BRIAN SMITH 1942602404
JOSEPH LAWSON CDCA 1174063671
AMANDA MANCINO CDCA 1881134385
ALLISON DEZELAN CDCA 1497295851
JAMIE WETZL CDCA 1649710906
STAN CATULLO CDCA 1598206898
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.