NPI 1093321838
Charlene Jackson, QMHSMACMSMA
Practice location
- Address
- 202 E Bagley Rd, Berea, OH 44017-2058
- Phone
- (440) 260-8300
- Mailing address
- 434 Eastland Rd, Berea, OH 44017-1217
Registered specialties (2)
Community Health Worker
Primary
Case Manager/Care Coordinator
Registry record
- NPI
- 1093321838
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 17 Sep 2020
- Record last updated
- 17 Sep 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.