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
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW00001723 (KY) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 297041 (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.