Samantha Jackson, LPC

NPI 1245607357 · on the registry since 2015

Practice

Address: 695 South St
Chardon, OH 44024
Phone: (440) 286-1631
Organisation at this address: Family Pride Of Northeast Ohio Incorporated
Family Pride Of Northeast Ohio Incorporated
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 60

Registry record

Primary taxonomy: 101Y00000X
101Y00000X
Licence states on file: OH
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2015-08-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio