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Joseph Jackson, LCDC II
NPI 1427539519 · on the registry since 2018 · sole proprietor
Practice
- Address
- 158 W Main St
Andover, OH 44003 - Phone
- (216) 800-8700
- Organisation at this address
- Impact Recovery Services
Impact Recovery ServicesInferred from a shared address, not stated in the registry. - Clinicians at this address
- 11
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Also registered as
- 175T00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-04-07
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