person
Mr. Jackie Adair Duckworth, BA,MA
Counselor in Ketchikan, Alaska
NPI 1801490438

Jackie Adair Duckworth is a Counselor based in Ketchikan, AK. Jackie Adair Duckworth practices in Ketchikan, AK and has the professional credentials of BA,MA. The NPI Number for Jackie Adair Duckworth is 1801490438 and holds a License No. (Alaska).

The current practice location address for Jackie Adair Duckworth is 2524 First Ave, Ketchikan, AK and can be reached out via phone at 907-617-3145 and via fax at 907-885-6613. You can also correspond with Jackie Adair Duckworth through the mailing address at PO BOX 7475, KETCHIKAN, AK - 99901-2475 (mailing address contact number: 907-617-3145).

Location: 2524 First Ave, Ketchikan, AK, 99901-2475
person
Provider Profile Details
NPI Number
1801490438
Provider Name
Jackie Adair Duckworth
Credential
BA,MA
Provider Entity Type
Individual
Gender
Male
Address
2524 First Ave, Ketchikan, AK, 99901-2475
Phone Number
907-617-3145
Fax Number
907-885-6613
Provider Enumeration Date
11/24/2020
Last Update Date
03/10/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1584706 05 AK
1021118 05 AK
institution
Provider Business Practice Location Address Details
Address
2524 First Ave
City
State
Zip
99901-5804
Phone Number
907-617-3145
Fax Number
907-885-6613
person
Provider Business Mailing Address Details
Address
2524 First Ave
City
State
Zip
99901-5804
Phone Number
907-617-3145
Fax Number
907-885-6613
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
(Alaska)
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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