IndividualActive
Allison Jackson, LPCC
NPI 1669930517 · Professional Counselor · Russell, KY
Provider details
- NPI number
- 1669930517
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LPCC
- Sex
- Female
- Sole proprietor
- No
- License
- 104618 (KY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1448 Diederich Blvd
Russell, KY 41169-1719
Phone: (606) 834-0020
Fax: (606) 834-0049
Approximate (ZIP-level) locationGet directions
Mailing address
1448 Diederich Blvd
Russell, KY 41169-1719
Registry dates
- Enumerated
- 2019-03-11
- Last updated
- 2019-04-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.