person
Calvin Jackson, LPA
Mental Health Counselor in Elizabethtown, Kentucky
NPI 1649226549

Calvin Jackson is a Mental Health Counselor based in Elizabethtown, KY and is specialized in Mental Health. Calvin Jackson practices in Elizabethtown, KY and has the professional credentials of LPA. The NPI Number for Calvin Jackson is 1649226549 and holds a License No. 0274 (Kentucky).

The current practice location address for Calvin Jackson is 1311 N Dixie Hwy, Elizabethtown, KY and can be reached out via phone at 270-769-1304 and via fax at 270-234-8028.

Location: 1311 N Dixie Hwy, Elizabethtown, KY, 42701-3650
person
Provider Profile Details
NPI Number
1649226549
Provider Name
Calvin Jackson
Credential
LPA
Provider Entity Type
Individual
Gender
Male
Address
1311 N Dixie Hwy, Elizabethtown, KY, 42701-3650
Phone Number
270-769-1304
Fax Number
270-234-8028
Provider Enumeration Date
05/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000338946 01 KY ANTHEM
30605018 05 KS
institution
Provider Business Practice Location Address Details
Address
1311 N Dixie Hwy
City
State
Zip
42701-2621
Phone Number
270-769-1304
Fax Number
270-234-8028
person
Provider Business Mailing Address Details
Address
1311 N Dixie Hwy
City
State
Zip
42701-2621
Phone Number
270-769-1304
Fax Number
270-234-8028
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
0274 (Kentucky)
Definition
Definition to come...
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