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1891323010
VELMA J. JACKSON
ELIZABETHTOWN, KY
NPI
1891323010
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KY 241831)
Enumeration Date
2020-04-01
Last Update Date
2020-04-01
Business Address
VELMA J. JACKSON CADC
413 E DIXIE AVE STE 106
ELIZABETHTOWN, KY 42701-1162
Phone number: 270-319-9899
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Mailing Address
VELMA J. JACKSON CADC
413 E DIXIE AVE STE 106
ELIZABETHTOWN, KY 42701-1162
Phone number: 270-319-9899
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