Johnnie Mac Jackson, MSW, CSW

NPI #1386094712 in Pikeville, Kentucky

Provider Information

NPI Number
1386094712
Entity Type
Individual
Name
Johnnie Mac Jackson, MSW, CSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
MSW, CSW
Enumeration Date
Jun 16, 2016
Last Updated
Apr 15, 2022

Practice Location

Address
7160 N MAYO TRL
ZIP Code
41501-3151
Phone
(606) 657-9988

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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