Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DIANE R JACKSON
ActiveDIANE R JACKSON is a Pastoral Counselor healthcare provider located in MANSFIELD, Ohio. NPI 1811056658 is currently active in the NPPES registry. Verify at CMS.
Pastoral Counselor · MANSFIELD, OH
Registration Details
- NPI Number
- 1811056658
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 7, 2006 (19.658301858983 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
E.0003808-SUPV (OH)E.0003808-SUPV (OH)E.0003808-SUPV (OH)
Practice Information
- Address
-
87 W 4TH STMANSFIELD, OH, 449031672Browse OH providers · Browse ZIP 44903
- Phone
- 4195264603
- Fax
- 4195264603
- Primary Specialty
-
Pastoral Counselor
101YP1600X
- Additional Specialty
- Mental Health Counselor
- Additional Specialty
- Pastoral Counselor
Other Pastoral Counselor Providers in MANSFIELD, OH
| Name | Credential | NPI |
|---|---|---|
| JOHN A SQUIRES | — | 1467511204 |
| JOHN BENJAMIN DAVID TATUM | DD PHD | 1174081095 |
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.