Individual provider · Type 1 NPI

Kim Jackson, PhD

Mental Health Counselor · Anchorage, AK

NPI number 1285177261 Active

Practice location

3330 Artic Blvd Ste 101
Anchorage, AK 99503-4580

Call (907) 600-3425 Map

Mailing address

2600 Cordova St Ste 101
Anchorage, AK 99503-2745

Other practice locations

  • 8012 Stewart Mountain Dr, Eagle River, AK 99577-9013 · (907) 694-3336
  • 2600 Cordova St Ste 101, Anchorage, AK 99503-2745 · (907) 279-9640

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Rehabilitation Practitioner 225400000X1044974 (AK)
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1285177261

Kim Jackson, PhD's National Provider Identifier is 1285177261, issued on Nov 23, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Anchorage, AK. The record was last updated on Sep 26, 2022.