Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EARLY LEE JACKSON
ActiveEARLY LEE JACKSON is a Addiction (Substance Use Disorder) Counselor healthcare provider located in EUCLID, Ohio. NPI 1427627744 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · EUCLID, OH
Registration Details
- NPI Number
- 1427627744
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 21, 2021 (4.9638291865222 yrs)
- Last Updated
- Jun 21, 2021
- License
-
175805 (OH)
Practice Information
- Address
-
22639 EUCLID AVEEUCLID, OH, 441171622Browse OH providers · Browse ZIP 44117
- Phone
- 2164041900
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in EUCLID, OH
| Name | Credential | NPI |
|---|---|---|
| JEANETTE COLLINS | CDCA | 1255148102 |
| STACY SYDNEY SUFKA | LICDC, GAMB | 1932550399 |
| MICHELLE MURPHY | LPC, LICDC, AT | 1679020341 |
| DERRICK D THOMAS | CDCA, NREMT | 1851834089 |
| ARTUR SHAWN FAISON | CDCA, NCAC I | 1316465503 |
| TERRY MAYNARD | — | 1881103364 |
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.