Individual provider · Type 1 NPI

Tracie R. Jackson, PRS

Peer Specialist · Covington, KY

NPI number 1982494522 Active

Practice location

9186 Blueridge Drive
Covington, KY 41017

Call (859) 912-5618 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1982494522

Tracie R. Jackson, PRS's National Provider Identifier is 1982494522, issued on May 7, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Covington, KY. The record was last updated on May 7, 2025.