Autumn Marie Jackson

NPI #1053042887 in Logan, Ohio

Provider Information

NPI Number
1053042887
Entity Type
Individual
Name
Autumn Marie Jackson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Peer Specialist
Enumeration Date
Jun 22, 2022
Last Updated
Jun 22, 2022

Practice Location

Address
549 E FRONT ST
City
Logan
State
Ohio
ZIP Code
43138-1717
Phone
(740) 407-8697

Specialties & Taxonomy Codes

Specialty
Peer Specialist

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