Medina Jackson

Counselor · Morehead, KY

Individual Active NPI

NPI number 1457790727

Practice location

321 E Main St
Morehead, KY 40351-1671
Phone
(606) 784-4161
Fax
(606) 783-9952

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NPI record

NPI
1457790727
Entity type
Individual (Type 1)
Enumeration date
June 20, 2013
Last updated
November 7, 2014
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Counselor Primary 101Y00000X — —

Mailing address

PO Box 790
Ashland, KY 41105-0790
Phone
(606) 329-8588
Fax
(606) 329-8195

About Medina Jackson

Medina Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Counselor (code 101Y00000X). The practice location is 321 E Main St, Morehead, KY 40351-1671. The NPI number 1457790727 was assigned on June 20, 2013 and the record was last updated on November 7, 2014.

Frequently asked questions

What is the NPI number of Medina Jackson?

The NPI number is 1457790727.

What is the phone number of Medina Jackson?

The phone number listed for the practice location is (606) 784-4161.

Where is Medina Jackson located?

321 E Main St, Morehead, KY 40351-1671.

What is the taxonomy code for Medina Jackson?

The primary taxonomy code is 101Y00000X – Counselor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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