Lookup NPI Numbers from the NPI Registry
NPI Profile for Dr KIM JACKSON in ANCHORAGE, AK.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Addiction (Substance Use Disorder) |
101YA0400X | |||
Counselor |
101Y00000X | |||
Rehabilitation Practitioner |
225400000X |
| NPI # | 1285177261 |
|
| Status | Active | |
| Credentials | PHD | |
| Entity | Individual | |
| Enumeration date | 11/23/2016 | |
| Last updated | 09/26/2022 - About 4 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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KIM JACKSON
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KIM JACKSON, PHD