MR. Robert Jackson

NPI #1245340579 in Hazard, Kentucky

Provider Information

NPI Number: 1245340579
Entity Type: Individual
Name: MR. Robert Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Aug 30, 2006
Last Updated: Nov 22, 2010

Practice Location

Address: 115 ROCKWOOD LN
City: Hazard
State: Kentucky
ZIP Code: 41701-9415
Phone: (606) 436-5761

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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