Individual provider · Type 1 NPI

Jessie Sides, LCSW, LCADC

Addiction (Substance Use Disorder) Counselor · Louisville, KY

NPI number 1407571797 Active

Practice location

312 S 4th St Ste 700
Louisville, KY 40202-3046

Mailing address

11118 Sandwood Pl
Louisville, KY 40272-5301

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XLCSW00001723 (KY)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X297041 (KY)

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

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About NPI 1407571797

Jessie Sides, LCSW, LCADC's National Provider Identifier is 1407571797, issued on Oct 10, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Louisville, KY. The record was last updated on Sep 17, 2026.