Andre Jackson

NPI #1386131308 in Holland, Ohio

Provider Information

NPI Number
1386131308
Entity Type
Individual
Name
Andre Jackson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Community/Behavioral Health
Enumeration Date
Apr 16, 2018
Last Updated
Apr 16, 2018

Practice Location

Address
7015 SPRING MDWS W STE 102
State
Ohio
ZIP Code
43528-9299
Phone
(419) 491-1180

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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