Search › Ohio › 171M00000X
Torrean Jackson, CDCA
NPI 1083125918 · on the registry since 2017 · sole proprietor
Practice
- Address
- 105 Shields Rd
Youngstown, OH 44512 - Phone
- (216) 525-1885
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Also registered as
- 101YA0400X
376K00000X - Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-04-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio