Jackson, Kelly

Jackson, Kelly is an individual health care provider with primary practice located at 675 Alpha Dr Ste G , Highland Heights OH 44143-2139. She recently has 3 registered licenses in different health care specialties including Agencies / Case Management, Other Service Providers / Community Health Worker, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Jackson, Kelly can be contacted via phone (440) 681-8169.

Contact Information

Primary practice address
675 Alpha Dr Ste G Highland Heights OH 44143-2139
Phone: (440) 681-8169
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X Ohio
Other Service Providers / Community Health Worker 172V00000X 003131 Ohio
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 194356 Ohio

Profile Details

NPI number 1023985223
LBN Legal business name Jackson, Kelly
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2025
Last updated May 19th, 2026 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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