person
Heather Leann Jackson, LPCC
Addiction (Substance Use Disorder) Counselor in Versailles, Kentucky
NPI 1679948491

Heather Leann Jackson is an Addiction (Substance Use Disorder) Counselor based in Burkesville, KY and is specialized in Addiction (Substance Use Disorder). Heather Leann Jackson practices in Versailles, KY and has the professional credentials of LPCC. The NPI Number for Heather Leann Jackson is 1679948491 and holds a License No. 283493 (Kentucky).

The current practice location address for Heather Leann Jackson is Simmons Elementary Healthy Kids Clinic, Versailles, KY and can be reached out via phone at 844-435-0900 and via fax at 270-858-4029.

Location: Simmons Elementary Healthy Kids Clinic, Versailles, KY, 42717-1080
person
Provider Profile Details
NPI Number
1679948491
Provider Name
Heather Leann Jackson
Credential
LPCC
Provider Entity Type
Individual
Gender
Female
Address
Simmons Elementary Healthy Kids Clinic, Versailles, KY, 42717-1080
Phone Number
844-435-0900
Fax Number
270-858-4029
Provider Enumeration Date
12/04/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1679948491 05 KY
institution
Provider Business Practice Location Address Details
Address
Simmons Elementary Healthy Kids Clinic
City
State
Zip
40383-1323
Phone Number
844-435-0900
Fax Number
270-858-4029
person
Provider Business Mailing Address Details
Address
Simmons Elementary Healthy Kids Clinic
City
State
Zip
40383-1323
Phone Number
844-435-0900
Fax Number
270-858-4029
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
169029 (Kentucky)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
283493 (Kentucky)
Definition
Definition to come...
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