| Kristi Jackson, | |
|
3367 Hwy 119 N, Mayking, KY 41837 | |
| (606) 633-4439 | |
| Not Available |
| Full Name | Kristi Jackson |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 3367 Hwy 119 N, Mayking, Kentucky |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427364058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 0990 (Kentucky) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kristi Jackson, 115 Rockwood Ln, Hazard, KY 41701-9415 Ph: (606) 436-5761 | Kristi Jackson, 3367 Hwy 119 N, Mayking, KY 41837 Ph: (606) 633-4439 |
Ms. Cheryl Gibson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3367 Hwy 119 N, Mayking, KY 41837 Phone: 606-633-4439 | |
Ms. Robin Thomas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3367 Hwy 119 N, Mayking Mall, Mayking, KY 41837 Phone: 606-633-4439 Fax: 606-436-5797 |