KEISHA STAR JACKSON

PRESTONSBURG, KY
NPI1932784493
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2021-03-16
Last Update Date2026-07-24
Business Address
KEISHA STAR JACKSON MSW,CADC
104 S FRONT AVE
PRESTONSBURG, KY 41653-1614
Phone number: 606-886-8572
Mailing Address
KEISHA STAR JACKSON MSW,CADC
130 FOUNTAIN AVE
PADUCAH, KY 42001-2713
Phone number: 270-201-2055