Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHANTILLE UNIQUE JACKSON, MSW, LSW
Active Sole ProprietorCHANTILLE UNIQUE JACKSON, MSW, LSW is a Community/Behavioral Health healthcare provider located in BEREA, Ohio. NPI 1578824447 is currently active in the NPPES registry. Verify at CMS.
Community/Behavioral Health · BEREA, OH
Registration Details
- NPI Number
- 1578824447
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 6, 2012 (14.196190403758 yrs)
- Last Updated
- Jun 6, 2012
- License
-
S.1101606 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
202 E BAGLEY RDBEREA, OH, 440172058Browse OH providers · Browse ZIP 44017
- Phone
- 4402608300
- Primary Specialty
-
Community/Behavioral Health
251S00000X
Other Community/Behavioral Health Providers in BEREA, OH
| Name | Credential | NPI |
|---|---|---|
| SHALITA MONIQUE YOUNG | QMHS BA | 1467944835 |
| EURIEL MERRICK | PST AIT MA | 1407349079 |
| COURTNEY VOLPE | QMHS BA | 1194218172 |
| WILMARY SAEZ | QMHS BA | 1093209439 |
| CAROLLEE KEPLER | QMHS 3YRS | 1871076570 |
| KALEB RINGER | QMHS BA CMS BA | 1871058735 |
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.