Individual provider · Type 1 NPI

Calvin Jackson, LPA

Mental Health Counselor · Elizabethtown, KY

NPI number 1649226549 Active

Practice location

1311 N Dixie Hwy
Elizabethtown, KY 42701-2621

Fax (270) 234-8028

Mailing address

107 Cranes Roost Ct
Elizabethtown, KY 42701-3650

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X0274 (KY)

Mental Health Counselor: Definition to come...

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About NPI 1649226549

Calvin Jackson, LPA's National Provider Identifier is 1649226549, issued on May 25, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Elizabethtown, KY. The record was last updated on Mar 29, 2008.