ROBERT JACKSON

HAZARD, KY
NPI1245340579
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: KY  0442)
Enumeration Date2006-08-30
Last Update Date2010-11-22
Business Address
Mr. ROBERT JACKSON
115 ROCKWOOD LN
HAZARD, KY 41701-9415
Phone number: 606-436-5761
Mailing Address
Mr. ROBERT JACKSON
115 ROCKWOOD LN
HAZARD, KY 41701-9415
Phone number: 606-436-5761