IndividualActive
Kimberly Jackson
NPI 1780319939 · Addiction (Substance Use Disorder) Counselor · Highland, UT
Provider details
- NPI number
- 1780319939
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 142864226001 (UT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
11042 N 5500 W
Highland, UT 84003-9503
Phone: (801) 660-0265
Approximate (ZIP-level) locationGet directions
Mailing address
11042 N 5500 W
Highland, UT 84003-9503
Registry dates
- Enumerated
- 2022-07-21
- Last updated
- 2026-05-19
- Certified
- 2026-05-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.