Individual provider · Type 1 NPI

Johnnie Mac Jackson, MSW, CSW

Addiction (Substance Use Disorder) Counselor · Pikeville, KY

NPI number 1386094712 Active

Practice location

7160 N Mayo Trl
Pikeville, KY 41501-3151

Call (606) 657-9988 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X254558 (KY)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1386094712

Johnnie Mac Jackson, MSW, CSW's National Provider Identifier is 1386094712, issued on Jun 16, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Pikeville, KY. The record was last updated on Apr 15, 2022.