Individual
SAMEERA CHOWDHURY JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
4010 DUPONT CIR, SUITE 582, LOUISVILLE, KY 40207-4812
(502) 899-5411
(502) 899-5411
Mailing address
3916 MIMOSA VIEW DR, LOUISVILLE, KY 40299-5834
(502) 644-5232
(502) 966-8252
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
KY-0732
KY
Other
Enumeration date
01/28/2014
Last updated
01/22/2015
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