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Kyana Jackson
NPI 1356859995 · on the registry since 2018
Practice
- Address
- 133 N Main St
Centerville, OH 45459 - Phone
- (937) 433-3931
- Organisation at this address
- The Friends Of The Castle
Friends Of The Castle, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Peer Specialist
175T00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-01-17
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