KENNETH LEE JACKSON

COLUMBUS, OH
NPI1003328550
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OH  S.1700069)
Enumeration Date2017-10-24
Last Update Date2017-10-24
Business Address
KENNETH LEE JACKSON LSW; LCDC III
1430 S HIGH ST FL 4
COLUMBUS, OH 43207-1045
Phone number: 614-445-8131
Mailing Address
KENNETH LEE JACKSON LSW; LCDC III
1430 S HIGH ST FL 4
COLUMBUS, OH 43207-1045
Phone number: 614-445-8131
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