KRISTI JACKSON

MAYKING, KY
NPI1427364058
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KY  0990)
Enumeration Date2010-08-20
Last Update Date2010-11-19
Business Address
-- KRISTI JACKSON
3367 HWY 119 N
MAYKING, KY 41837
Phone number: 606-633-4439
Mailing Address
-- KRISTI JACKSON
115 ROCKWOOD LN
HAZARD, KY 41701-9415
Phone number: 606-436-5761
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