Individual provider · Type 1 NPI

Anthony N. Jackson, MA, LPCC, LCADC

Professional Counselor · Alvaton, KY

NPI number 1487210399 Active

Practice location

6445 East Haven Way
Alvaton, KY 42122

Call (502) 509-6116 Map

Mailing address

1143 Fairway St Ste 103
Bowling Green, KY 42103-2452

Other practice locations

  • 1143 Fairway St Ste 103, Bowling Green, KY 42103-2452 · (407) 347-4539

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X297949 (KY)
Addiction (Substance Use Disorder) Counselor 101YA0400X280595 (KY)

Professional Counselor: Definition to come...

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About NPI 1487210399

Anthony N. Jackson, MA, LPCC, LCADC's National Provider Identifier is 1487210399, issued on May 15, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Alvaton, KY. The record was last updated on Oct 30, 2025.