Individual provider · Type 1 NPI

Holly Suzanne Jackson

Counselor · Owensboro, KY

NPI number 1922596220 Active

Practice location

1100 Walnut St
Owensboro, KY 42301-2956

Call (270) 689-6500 Map

Mailing address

PO Box 1637
Owensboro, KY 42302-1637

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X3872 (KY)

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 1922596220

Holly Suzanne Jackson's National Provider Identifier is 1922596220, issued on Apr 23, 2018. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Owensboro, KY. The record was last updated on Apr 23, 2018.