Individual provider · Type 1 NPI
Kristi Jackson
Addiction (Substance Use Disorder) Counselor · Mayking, KY
NPI number
1427364058
Active
Practice location
3367 Hwy 119 N
Mayking, KY 41837
Mailing address
115 Rockwood Ln
Hazard, KY 41701-9415
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 0990 (KY) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
4 other providers at this address
About NPI 1427364058
Kristi Jackson's National Provider Identifier is 1427364058, issued on Aug 20, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Mayking, KY. The record was last updated on Nov 19, 2010.