Individual provider · Type 1 NPI

Kimberly L. Jackson

Peer Specialist · Elizabethtown, KY

NPI number 1508561796 Active

Practice location

415 E Dixie Ave
Elizabethtown, KY 42701-1162

Call (270) 982-7378 Map

Fax (270) 982-7379

Mailing address

PO Box 6098
Elizabethtown, KY 42702-6098

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

5 other providers at this address

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About NPI 1508561796

Kimberly L. Jackson's National Provider Identifier is 1508561796, issued on Apr 5, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Elizabethtown, KY. The record was last updated on Apr 5, 2023.