Early Lee Jackson is a Euclid, Ohio based counselor who is specialized as Addiction (Substance Use Disorder) Counselor. Active license number of Early Lee Jackson is 175805 for Addiction (Substance Use Disorder) Counselor in Ohio. His current practice location is 22639 Euclid Ave, Euclid. Patients can book an appointment with him at 216-404-1900.
Early Lee Jackson is a licensed mental health therapist who help individuals struggling with addiction of alcohol, drug, or other substance use disorder. He helps his clients by manage and overcome the psychological, emotional, and behavioral challenges related to substance use. Counselors also work closely with families and support systems to help them better understand their loved one’s illness. SUD counselors help to promote long-term sobriety, emotional stability, and overall mental wellness for both the individual and their family.
Complete Profile:
Early Lee Jackson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Early Lee Jackson
Specialization:
Addiction (Substance Use Disorder) Counselor
Gender:
Male
Accepts Medicare Assignment:
No
Practice Address:
22639 Euclid Ave, Euclid, Ohio, 44117-1622
Phone:
216-404-1900
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1427627744
NPI Enumeration Date:
21 Jun, 2021
NPI Last Update On:
21 Jun, 2021
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Early Lee Jackson are as mentioned below.
License Number
Specialization
State
Status
175805
Addiction (Substance Use Disorder) Counselor
Ohio
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Early Lee Jackson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
175805
Medicaid
Ohio
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
6137 Edward St Apt 202, Norfolk, Virginia
Zip:
23513-1575
Phone Number:
610-226-7670
Patients can reach Early Lee Jackson at 22639 Euclid Ave, Euclid, Ohio or can call to book an appointment on 216-404-1900. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.