Mildred Jackson

NPI #1194195404 in Mt Sterling, Kentucky

Provider Information

NPI Number: 1194195404
Entity Type: Individual
Name: Mildred Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Sep 29, 2015
Last Updated: Sep 29, 2015

Practice Location

Address: 300 FOXGLOVE DR
City: Mt Sterling
State: Kentucky
ZIP Code: 40353-9769
Phone: (859) 498-2135

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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