person
Kenneth Lee Jackson JR., LSW;LCDCIII
Mental Health Counselor in Columbus, Ohio
NPI 1003328550

Kenneth Lee Jackson JR. is a Mental Health Counselor based in Columbus, OH and is specialized in Mental Health. Kenneth Lee Jackson JR. practices in Columbus, OH and has the professional credentials of LSW;LCDCIII. The NPI Number for Kenneth Lee Jackson JR. is 1003328550 and holds a License No. S.1700069 (Ohio).

The current practice location address for Kenneth Lee Jackson JR. is 1430 S High St Fl 4, Columbus, OH and can be reached out via phone at 614-445-8131 and via fax at 614-643-6820.

Location: 1430 S High St Fl 4, Columbus, OH, 43207-1045
person
Provider Profile Details
NPI Number
1003328550
Provider Name
Kenneth Lee Jackson JR.
Credential
LSW;LCDCIII
Provider Entity Type
Individual
Gender
Male
Address
1430 S High St Fl 4, Columbus, OH, 43207-1045
Phone Number
614-445-8131
Fax Number
614-643-6820
Provider Enumeration Date
10/24/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1430 S High St Fl 4
City
State
Zip
43207-1045
Phone Number
614-445-8131
Fax Number
614-643-6820
person
Provider Business Mailing Address Details
Address
1430 S High St Fl 4
City
State
Zip
43207-1045
Phone Number
614-445-8131
Fax Number
614-643-6820
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
S.1700069 (Ohio)
Definition
Definition to come...
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