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Medina Jackson
Counselor in Morehead, Kentucky
NPI 1457790727

Medina Jackson is a Counselor based in Ashland, KY. Medina Jackson practices in Morehead, KY. The NPI Number for Medina Jackson is 1457790727 and holds a License No. (Kentucky).

The current practice location address for Medina Jackson is 321 E Main St, Morehead, KY and can be reached out via phone at 606-784-4161 and via fax at 606-783-9952.

Location: 321 E Main St, Morehead, KY, 41105-0790
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457790727
Provider Name
Medina Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
321 E Main St, Morehead, KY, 41105-0790
Phone Number
606-784-4161
Fax Number
606-783-9952
Provider Enumeration Date
06/20/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
30610026 05 KY
institution
Provider Business Practice Location Address Details
Address
321 E Main St
City
Morehead
State
Kentucky
Zip
40351-1671
Phone Number
606-784-4161
Fax Number
606-783-9952
person
Provider Business Mailing Address Details
Address
321 E Main St
City
Morehead
State
Kentucky
Zip
40351-1671
Phone Number
606-784-4161
Fax Number
606-783-9952
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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