Kyana L Jackson
NPI #1356859995 in Centerville, Ohio
Provider Information
- NPI Number
- 1356859995
- Entity Type
- Individual
- Name
- Kyana L Jackson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Peer Specialist
- Enumeration Date
- Jan 17, 2018
- Last Updated
- Jan 17, 2018
Practice Location
- Address
- 133 N MAIN ST
- City
- Centerville
- State
- Ohio
- ZIP Code
- 45459-4620
- Phone
- (937) 433-3931
Specialties & Taxonomy Codes
| Specialty |
|---|
| Peer Specialist |
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