Individual provider · Type 1 NPI

Kimberly Dawn Jackson, LPC

Professional Counselor · Independence, MO

NPI number 1821316159 Active

Practice location

10901 E Winner Rd
Independence, MO 64052-3755

Call (816) 254-3652 Map

Fax (816) 254-9243

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X2009036113 (MO)

Professional Counselor: Definition to come...

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About NPI 1821316159

Kimberly Dawn Jackson, LPC's National Provider Identifier is 1821316159, issued on May 11, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Independence, MO. The record was last updated on May 11, 2010.