Individual provider · Type 1 NPI

Kenneth Lee Jackson Jr., LSW; LCDC III

Mental Health Counselor · Columbus, OH

NPI number 1003328550 Active

About NPI 1003328550

Kenneth Lee Jackson Jr., LSW; LCDC III's National Provider Identifier is 1003328550, issued on Oct 24, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Columbus, OH. The record was last updated on Oct 24, 2017.