Jasen Jackson is a Counselor in Louisville, Kentucky. Jasen Jackson practices all healthcare services and medical treatments related to Counselor. The NPI Number for Jasen Jackson is 1063615789. The last update date is 2007-07-08.
Jasen Jackson's current location address is 2225 W Broadway, Louisville, Kentucky. You can contact this provider via phone number 5025891100 and fax number 5025898771. The mailing address for Jasen Jackson is 2225 W Broadway, Louisville, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jasen Jackson |
|---|---|
| Address | 2225 W Broadway, Louisville, Kentucky |
| Phone Number | 5025891100 |
| Fax Number | 5025898771 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1063615789 |
|---|---|
| Provider Enumeration Date | 2007-06-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2225 W Broadway |
|---|---|
| City | Louisville |
| State | Kentucky (KY) |
| Post Code | 402111003 |
| Phone Number | 5025891100 |
| Fax Number | 5025898771 |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
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Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
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Post Comment/ Review Below
What is the Jasen Jackson's unique identification number?
The Jasen Jackson has been assigned the NPI (National Provider Identifier) Number 1063615789 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Jasen Jackson is physically located?
The Jasen Jackson is physically situated at the following address: 2225 W Broadway, Louisville, KY, 402111003.
What is Jasen Jackson's area of expertise and its corresponding taxonomy classification?
The Jasen Jackson's field of specialization is Counselor, and it falls under the taxonomy code 101Y00000X, which categorizes healthcare providers based on their areas of practice.
On what date did Jasen Jackson receive its 1063615789 assignment from the Centers for Medicare & Medicaid Services?
The Jasen Jackson was assigned its 1063615789 on 2007-06-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Jasen Jackson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jasen Jackson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY