SearchOhio101YP1600X

Diane Jackson

NPI 1811056658 · on the registry since 2006

Practice

Address
87 W 4th St
Mansfield, OH 44903
Phone
(419) 526-4603
Fax
(419) 526-4603
Organisation at this address
Samaritan House Counseling Services, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
101YP1600X
101YP1600X
Also registered as
101Y00000X
101YM0800X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-09-11

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