Individual
MRS. SARAH E JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
903 BAXTER AVE, LOUISVILLE, KY 40204-2046
(502) 894-8604
(502) 458-7362
Mailing address
903 BAXTER AVE, LOUISVILLE, KY 40204-2046
(502) 894-8604
(502) 458-7362
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
IN
103T00000X
Psychologist
Primary
0448
KY
Other
Enumeration date
08/31/2006
Last updated
03/18/2011
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