Individual provider · Type 1 NPI

Kathleen Patterson Jackson, LCSW

Addiction (Substance Use Disorder) Counselor · Lexington, KY

NPI number 1871754416 Active

Practice location

627 W 4th St
Lexington, KY 40508-1207

Mailing address

708 Central Ave
Lexington, KY 40502-1710

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X3044 (KY)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1871754416

Kathleen Patterson Jackson, LCSW's National Provider Identifier is 1871754416, issued on Jun 17, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lexington, KY. The record was last updated on Jun 17, 2008.