Darel Jackson

NPI #1003588476 in Columbus, Ohio

Provider Information

NPI Number
1003588476
Entity Type
Individual
Name
Darel Jackson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor
Enumeration Date
Oct 4, 2021
Last Updated
Oct 4, 2021

Practice Location

Address
16 W LONG ST
State
Ohio
ZIP Code
43215-2815
Phone
(614) 809-1393

Specialties & Taxonomy Codes

Specialty
Counselor

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