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Antwoine Jackson
Counselor in Shepherdsville, Kentucky
NPI 1922328855

Antwoine Jackson is a Counselor based in Louisville, KY. Antwoine Jackson practices in Shepherdsville, KY. The NPI Number for Antwoine Jackson is 1922328855 and holds a License No. (Kentucky).

The current practice location address for Antwoine Jackson is 130 S Joe B Hall Ave, Shepherdsville, KY and can be reached out via phone at 502-589-8600 and via fax at 502-589-8771.

Location: 130 S Joe B Hall Ave, Shepherdsville, KY, 40202-1423
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922328855
Provider Name
Antwoine Jackson
Credential
Provider Entity Type
Individual
Gender
Male
Address
130 S Joe B Hall Ave, Shepherdsville, KY, 40202-1423
Phone Number
502-589-8600
Fax Number
502-589-8771
Provider Enumeration Date
06/02/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
130 S Joe B Hall Ave
City
Shepherdsville
State
Kentucky
Zip
40165-0690
Phone Number
502-589-8600
Fax Number
502-589-8771
person
Provider Business Mailing Address Details
Address
130 S Joe B Hall Ave
City
Shepherdsville
State
Kentucky
Zip
40165-0690
Phone Number
502-589-8600
Fax Number
502-589-8771
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
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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