CAMILLE JACKSON
NPI 1790553204
Counselor - Addiction (Substance Use Disorder) in Parma, OH
About Camille Jackson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAMILLE JACKSON (NPI 1790553204) is an individual addiction (substance use disorder) provider in Parma, Ohio, licensed in Ohio (CDCA.183689) and active in the NPI registry since December 2023.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PARMA, OH 44129
PARMA, OH 44129
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Camille Jackson's NPI number?
The NPI number for Camille Jackson is 1790553204. It was assigned to this individual provider in the NPPES registry on December 13, 2023.
Where is Camille Jackson located?
Camille Jackson practices at 5850 Ridge Rd, Parma, OH 44129. The listed phone number is (440) 990-4467.
What is Camille Jackson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.
When was this NPI record last updated?
The NPPES record for Camille Jackson was last updated on December 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Camille Jackson · NPI 1790553204
Addiction (Substance Use Disorder) provider in Parma, Ohio. Individual provider, active in the CMS NPPES registry since December 13, 2023.
## Identity
- **NPI:** 1790553204 (Entity type: Individual)
- **Enumerated:** December 13, 2023
- **Primary specialty:** Counselor - Addiction (Substance Use Disorder) · taxonomy 101YA0400X
- **State license:** CDCA.183689 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 5850 RIDGE RD, Parma, OH 44129-3169
- **Phone:** (440) 990-4467
## Record status
- **NPPES last updated:** December 19, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1790553204) · Data from the CMS NPPES public registry.