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Kimberly L Jackson
Peer Specialist in Elizabethtown, Kentucky
NPI 1508561796

Kimberly L Jackson is a Peer Specialist based in Elizabethtown, KY. Kimberly L Jackson practices in Elizabethtown, KY. The NPI Number for Kimberly L Jackson is 1508561796 and holds a License No. (Kentucky).

The current practice location address for Kimberly L Jackson is 415 E Dixie Ave, Elizabethtown, KY and can be reached out via phone at 270-982-7378 and via fax at 270-982-7379.

Location: 415 E Dixie Ave, Elizabethtown, KY, 42702-6098
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508561796
Provider Name
Kimberly L Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
415 E Dixie Ave, Elizabethtown, KY, 42702-6098
Phone Number
270-982-7378
Fax Number
270-982-7379
Provider Enumeration Date
04/05/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
415 E Dixie Ave
City
Elizabethtown
State
Kentucky
Zip
42701-1162
Phone Number
270-982-7378
Fax Number
270-982-7379
person
Provider Business Mailing Address Details
Address
415 E Dixie Ave
City
Elizabethtown
State
Kentucky
Zip
42701-1162
Phone Number
270-982-7378
Fax Number
270-982-7379
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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