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Search › Kentucky › Professional Counselor

Anthony Jackson, MA, LPCC, LCADC

NPI 1487210399 · on the registry since 2019

Practice

Address
6445 East Haven Way
Alvaton, KY 42122
Phone
(502) 509-6116

Additional practice sites

  • 1143 Fairway St Ste 103, Bowling Green, KY

Registry record

Primary taxonomy
Professional Counselor
101YP2500X
Also registered as
Addiction (Substance Use Disorder) Counselor
Licence states on file
KY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-10-30

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 Kentucky