Individual
HOLLY SCOTT-JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICDC
Contact information
Practice address
446 MORGAN ST, CINCINNATI, OH 45206-2348
(833) 510-4357
Mailing address
4600 MONTGOMERY RD STE 400, CINCINNATI, OH 45212-2600
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCDCIII.162756
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LICDC.162923
OH
390200000X
Student in an Organized Health Care Education/Training Program
C.2506595-TRNE
OH
Other
Enumeration date
12/13/2024
Last updated
03/02/2026
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