Jackson, Laura K

Jackson, Laura K is an individual health care provider with primary practice located at 3629 Church St , Covington KY 41015-1430. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Jackson, Laura K can be contacted via phone (859) 581-8974.

Contact Information

Primary practice address
3629 Church St Covington KY 41015-1430
Phone: (859) 581-8974
Fax: (859) 581-9595
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW 3952 Kentucky
Behavioral Health & Social Service Providers / Clinical 1041C0700X LSW-09000933 Ohio
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCDC III- 101140 Ohio

Profile Details

NPI number 1326224288
LBN Legal business name Jackson, Laura K
Credentials LCSW; LCDC III
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2008
Last updated Sep 30th, 2014 - about 11 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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