| Early Lee Jackson, | |
|
22639 Euclid Ave, Euclid, OH 44117-1622 | |
| (216) 404-1900 | |
| Not Available |
| Full Name | Early Lee Jackson |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 22639 Euclid Ave, Euclid, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427627744 | NPI | - | NPPES |
| 175805 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 175805 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Early Lee Jackson, 6137 Edward St Apt 202, Norfolk, VA 23513-1575 Ph: (610) 226-7670 | Early Lee Jackson, 22639 Euclid Ave, Euclid, OH 44117-1622 Ph: (216) 404-1900 |
Coco Tawanna Veal, Counselor Medicare: Not Enrolled in Medicare Practice Location: 685 E 260th St, Euclid, OH 44132 Phone: 440-650-6632 | |
Charity Imani White, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 24350 Stephen Ave, Euclid, OH 44123 Phone: 804-972-5439 | |
Lydia Dabney, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 22639 Euclid Ave, Euclid, OH 44117 Phone: 216-486-1919 Fax: 216-404-1901 | |
Deborah J Taylor, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 22639 Euclid Ave, Euclid, OH 44117 Phone: 216-404-1900 | |
Parrish A Glover, Counselor Medicare: Not Enrolled in Medicare Practice Location: 20611 Euclid Ave, Euclid, OH 44117 Phone: 216-859-2727 | |
London Margerum, Counselor Medicare: Not Enrolled in Medicare Practice Location: 22639 Euclid Ave, Euclid, OH 44117 Phone: 216-466-3952 | |
Mrs. Muriel G Riggins, MA, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 154 E 213th St, Euclid, OH 44123 Phone: 216-355-7142 |