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1003328550
KENNETH LEE JACKSON
COLUMBUS, OH
NPI
1003328550
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OH S.1700069)
Enumeration Date
2017-10-24
Last Update Date
2017-10-24
Business Address
KENNETH LEE JACKSON LSW; LCDC III
1430 S HIGH ST FL 4
COLUMBUS, OH 43207-1045
Phone number: 614-445-8131
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Mailing Address
KENNETH LEE JACKSON LSW; LCDC III
1430 S HIGH ST FL 4
COLUMBUS, OH 43207-1045
Phone number: 614-445-8131
Copy
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