Kenneth Lee Jackson JR., LSW; LCDC III

NPI #1003328550 in Columbus, Ohio

Provider Information

NPI Number
1003328550
Entity Type
Individual
Name
Kenneth Lee Jackson JR., LSW; LCDC III
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Mental Health
Credential
LSW; LCDC III
Enumeration Date
Oct 24, 2017
Last Updated
Oct 24, 2017

Practice Location

Address
1430 S HIGH ST FL 4
State
Ohio
ZIP Code
43207-1045
Phone
(614) 445-8131

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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