Daniel S Jackman
Addiction Counselor (Substance Use Disorder)
597 Park Ave E
Mansfield
, Ohio 44905-2848
Daniel S Jackman
Addiction Counselor (Substance Use Disorder)
597 Park Ave E
Mansfield
, Ohio 44905-2848
(567) 560-5486
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About
Features
Specialties
- Addiction Counselor (Substance Use Disorder)
Languages spoken
- English
Location
First Address
- Daniel S Jackman
- 680 Park Ave W
- Mansfield, OH
- Zip : 44906-3706
- Fax : (567) 560-5486
- Phone : (419) 528-5993
Second Address
- Daniel S Jackman
- 597 Park Ave E
- Mansfield, OH
- Zip : 44905-2848
- Fax : (419) 774-3544
- Phone : (419) 774-3538
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) | CDCA.169811 | OH |
National Provider Identifier
| NPI | 1003318551 |
|---|---|
| Provider Name | Daniel S Jackman |
| First Address | Mansfield, OH 44906-3706 |
| Second Address | Mansfield, OH 44905-2848 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/03/2018 |
| Last Update Date | 27/02/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.