Kimberly Jackson

NPI #1780319939 in Highland, Utah

Provider Information

NPI Number: 1780319939
Entity Type: Individual
Name: Kimberly Jackson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Enumeration Date: Jul 21, 2022
Last Updated: Apr 14, 2025

Practice Location

Address: 11042 N 5500 W
City: Highland
State: Utah
ZIP Code: 84003-9503
Phone: (801) 660-0265

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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MR. Dale William Sterner, CAC	Counselor - Addiction (Substance Use Disorder)	Salt Lake City	AI Deep Dive
MR. Charles W. Talcott, BA/LSAC	Counselor - Addiction (Substance Use Disorder)	Salt Lake City	AI Deep Dive
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Organizations

Provider Name	Specialty	City
Axis-One INC	Counselor - Addiction (Substance Use Disorder)	Riverdale	AI Deep Dive

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