KENNETH LEE JACKSON LSW; LCDC III NPI 1003328550

NPI Information

NPI: 1003328550
Provider Name: KENNETH LEE JACKSON, LSW; LCDC III
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1430 S HIGH ST FL 4
COLUMBUS, OH
ZIP 43207
Phone: (614) 445-8131
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Kenneth Lee Jackson, LSW; LCDC III is a mental health counselor in Columbus, OH. Kenneth Lee Jackson, LSW; LCDC III NPI is 1003328550. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1430 S HIGH ST FL 4
COLUMBUS, OH
ZIP 43207-045
Phone: (614) 445-8131
Fax: (614) 643-6820

The enumeration date for this NPI number is 10/24/2017 and was last updated on 10/24/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	S.1700069	OHIO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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