Kenneth Jackson, LSW; LCDC III

NPI 1003328550 · on the registry since 2017 · sole proprietor

Practice

Address: 1430 S High St Fl 4
Columbus, OH 43207
Phone: (614) 445-8131
Fax: (614) 643-6820
Organisation at this address: Pisp Llc
Poel, Inc.
Lab K Company Llc
Robert W Clark Md Inc
Urgent Care Plus, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 115

Registry record

Primary taxonomy: Mental Health Counselor
101YM0800X
Licence states on file: OH
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2017-10-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio