Individual provider · Type 1 NPI

Kassidy S. Jackson

Mental Health Counselor · Columbus, OH

NPI number 1003532854 Active

Practice location

3242 E Main St Ste 2
Columbus, OH 43213-3807

Fax (614) 500-4150

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1003532854

Kassidy S. Jackson's National Provider Identifier is 1003532854, issued on Oct 13, 2022. 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 13, 2022.