MR. Ulysses D Jackson III

NPI #1942835467 in Wadsworth, Ohio

Provider Information

NPI Number: 1942835467
Entity Type: Individual
Name: MR. Ulysses D Jackson III
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Enumeration Date: Mar 4, 2020
Last Updated: Nov 27, 2023

Practice Location

Address: 205 WADSWORTH RD
City: Wadsworth
State: Ohio
ZIP Code: 44281-9580
Phone: (234) 217-8882

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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