Individual provider · Type 1 NPI
Jackie Doublin
Addiction (Substance Use Disorder) Counselor · Paducah, KY
NPI number
1730544388
Active
Practice location
4625 Falconcrest Dr., Suite A
Paducah, KY 42001
Fax (270) 443-0080
Mailing address
4625 Falconcrest Dr, Suite A
Paducah, KY 42001-7458
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
| Case Manager/Care Coordinator | 171M00000X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1730544388
Jackie Doublin's National Provider Identifier is 1730544388, issued on Dec 28, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Paducah, KY. The record was last updated on Dec 28, 2015.