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NPI Code Detail

MEDICARE: MR. JARON JACKSON

MEDICARE:  MR. JARON  JACKSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator
2101YA0400XAddiction (Substance Use Disorder) Counselor1437880911OH

General Provider Information

NPI Number : 1437880911
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JARON JACKSON
Provider Business Mailing Address
First Line : PO BOX 20068
Second Line :
City : TOLEDO
State : OH
Zip : 43610-0068
Country : US
Telephone Number : 419-531-5544
Fax Number :
Provider Business Practice Location Address
First Line : 3231 CENTRAL PARK W
Second Line :
City : TOLEDO
State : OH
Zip : 43617-3008
Country : US
Telephone Number : 888-442-2323
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2022
Last Update Date : 11/10/2025

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