Individual
JACKSON KISOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
28 N EAST ST, GREENFIELD, IN 46140-2167
(317) 649-4311
Mailing address
10443 BELLEFONTAINE ST # A, CARMEL, IN 46280-1425
(513) 426-4802
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
85000622A
IN
Other
Enumeration date
03/11/2026
Last updated
03/11/2026
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