Individual provider · Type 1 NPI

Antwoine Jackson

Counselor · Shepherdsville, KY

NPI number 1922328855 Active

Practice location

130 S Joe B Hall Ave
Shepherdsville, KY 40165-0690

Call (502) 589-8600 Map

Fax (502) 589-8771

Mailing address

101 W Muhammad Ali Blvd
Louisville, KY 40202-1423

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1922328855

Antwoine Jackson's National Provider Identifier is 1922328855, issued on Jun 2, 2010. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Shepherdsville, KY. The record was last updated on Jun 9, 2011.