Patrick Dior Jackson

NPI #1871141457 in Louisville, Kentucky

Provider Information

NPI Number: 1871141457
Entity Type: Individual
Name: Patrick Dior Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - School
Enumeration Date: Aug 28, 2019
Last Updated: Aug 28, 2019

Practice Location

Address: 5111 S 3RD ST
City: Louisville
State: Kentucky
ZIP Code: 40214-2601
Phone: (502) 690-1511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - School — School	101YS0200X	Primary

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