| Mr Anthony N Jackson, MA, LPCC, LCADC | |
|
6445 East Haven Way, Alvaton, KY 42122 | |
| (502) 509-6116 | |
| Not Available |
| Full Name | Mr Anthony N Jackson |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 6445 East Haven Way, Alvaton, Kentucky |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487210399 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 297949 (Kentucky) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 280595 (Kentucky) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Anthony N Jackson, MA, LPCC, LCADC 1143 Fairway St Ste 103, Bowling Green, KY 42103-2452 Ph: (407) 347-4536 | Mr Anthony N Jackson, MA, LPCC, LCADC 6445 East Haven Way, Alvaton, KY 42122 Ph: (502) 509-6116 |
Jan Marie Trabue, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9940 Alvaton Rd, Alvaton, KY 42122 Phone: 270-746-6600 Fax: 270-842-9008 | |
Amanda L Tittle, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6350 Old Scottsville Rd, Alvaton, KY 42122 Phone: 844-435-0900 Fax: 270-858-4029 | |
Kousalya Odom, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 9940 Alvaton Rd, Alvaton, KY 42122 Phone: 270-702-8970 | |
Karen Hammond, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9940 Alvaton Rd, Alvaton, KY 42122 Phone: 270-746-6600 Fax: 270-842-9008 | |
Mrs. Karen Carr, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9940 Alvaton Road, Alvaton, KY 42122 Phone: 270-746-6600 Fax: 270-842-9008 | |
Katharine L Collins, LPCC Counselor Medicare: May Accept Medicare Assignments Practice Location: 6350 Old Scottsville Rd, Alvaton, KY 42122 Phone: 844-435-0900 Fax: 270-858-4029 | |
Holly Bean Bryant, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9940 Alvaton Rd, Alvaton, KY 42122 Phone: 270-746-6600 Fax: 270-842-9008 |