CANDACE JACKSON NPI 1477217719

NPI Information

  • NPI: 1477217719
  • Provider Name: CANDACE JACKSON
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 199 S CENTRAL AVE
    COLUMBUS, OH
    ZIP 43223
  • Phone: (614) 273-2273

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NPI Details

Candace Jackson is a professional counselor in Columbus, OH. Candace Jackson NPI is 1477217719. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

199 S CENTRAL AVE
COLUMBUS, OH
ZIP 43223-301
Phone: (614) 273-2273

The enumeration date for this NPI number is 10/22/2021 and was last updated on 5/4/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessionalC.1400060Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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