Individual provider · Type 1 NPI

Robert Jackson

Mental Health Counselor · Hazard, KY

NPI number 1245340579 Active

Practice location

115 Rockwood Ln
Hazard, KY 41701-9415

Fax (606) 436-5797

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X0442 (KY)

Mental Health Counselor: Definition to come...

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About NPI 1245340579

Robert Jackson's National Provider Identifier is 1245340579, issued on Aug 30, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Hazard, KY. The record was last updated on Nov 22, 2010.