JACKSON BEHAVIORAL HEALTH PROFESSIONALS PLLC NPI 1336213784

NPI Information

JACKSON BEHAVIORAL HEALTH PROFESSIONALS, PLLC is an addiction (substance use disorder) counselor in Corbin, KY. JACKSON BEHAVIORAL HEALTH PROFESSIONALS, PLLC NPI is 1336213784. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1013 MASTER ST
CORBIN, KY
ZIP 40701-065
Phone: (606) 526-9500
Fax: (606) 526-8080

The provider's authorized official is William Matt Ellison .
The authorized official title is Proprietor and has the following contact phone number (606) 526-9500.

The enumeration date for this NPI number is 11/19/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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