Individual
RONALD JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
400 HAZEL LAWN DR, SHELBYVILLE, KY 40065-7800
(502) 807-0662
Mailing address
400 HAZEL LAWN DR, SHELBYVILLE, KY 40065-7800
(502) 807-0662
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/07/2016
Last updated
06/05/2026
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