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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.

Location: 2524 First Ave, Ketchikan, AK, 99901-2475
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Ketchikan
State
Alaska
Zip
99901-5804
Phone Number
907-617-3145
Fax Number
907-885-6613
person
Provider Business Mailing Address Details
Address
2524 First Ave
City
Ketchikan
State
Alaska
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
101Y00000X
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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