Jackson, Kim

Jackson, Kim is an individual health care provider with primary practice located at 3330 Artic Blvd Ste 101 , Anchorage AK 99503-4580. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Jackson, Kim can be contacted via phone (907) 600-3425.

Contact Information

Primary practice address
3330 Artic Blvd Ste 101 Anchorage AK 99503-4580
Phone: (907) 600-3425
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X 1044974 Alaska
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1285177261
LBN Legal business name Jackson, Kim
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2016
Last updated Sep 26th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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