IndividualActive
Antwoine Jackson
NPI 1922328855 · Counselor · Shepherdsville, KY
Provider details
- NPI number
- 1922328855
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
130 S Joe B Hall Ave
Shepherdsville, KY 40165-0690
Phone: (502) 589-8600
Fax: (502) 589-8771
Approximate (ZIP-level) locationGet directions
Mailing address
101 W Muhammad Ali Blvd
Louisville, KY 40202-1423
Registry dates
- Enumerated
- 2010-06-02
- Last updated
- 2011-06-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.