person
Johnnie Mac Jackson, MSW,CSW
Addiction (Substance Use Disorder) Counselor in Pikeville, Kentucky
NPI 1386094712

Johnnie Mac Jackson is an Addiction (Substance Use Disorder) Counselor based in Pikeville, KY and is specialized in Addiction (Substance Use Disorder). Johnnie Mac Jackson practices in Pikeville, KY and has the professional credentials of MSW,CSW. The NPI Number for Johnnie Mac Jackson is 1386094712 and holds a License No. (Kentucky).

The current practice location address for Johnnie Mac Jackson is 7160 N Mayo Trl, Pikeville, KY and can be reached out via phone at 606-657-9988.

Location: 7160 N Mayo Trl, Pikeville, KY, 41501-3151
person
Provider Profile Details
NPI Number
1386094712
Provider Name
Johnnie Mac Jackson
Credential
MSW,CSW
Provider Entity Type
Individual
Gender
Male
Address
7160 N Mayo Trl, Pikeville, KY, 41501-3151
Phone Number
606-657-9988
Fax Number
Provider Enumeration Date
06/16/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7160 N Mayo Trl
City
State
Zip
41501-3151
Phone Number
606-657-9988
Fax Number
person
Provider Business Mailing Address Details
Address
7160 N Mayo Trl
City
State
Zip
41501-3151
Phone Number
606-657-9988
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
254558 (Kentucky)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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