Individual
KRISTY JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
525 DOTSON BRANCH RD, SALYERSVILLE, KY 41465-9440
(606) 349-6136
Mailing address
104 S FRONT AVE, PRESTONSBURG, KY 41653-1614
(606) 886-8572
(606) 886-4433
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/10/2008
Last updated
06/10/2008
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