SHANNON JACKSON
NPI 1497838395
Counselor - Mental Health in Hopkinsville, KY
Active since October 23, 2006
About Shannon Jackson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANNON JACKSON (NPI 1497838395) is an individual mental health provider in Hopkinsville, Kentucky and active in the NPI registry since October 2006.
NPPES Registry Identity
NPI1497838395
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHANNON JACKSON
Location Address607 HAMMOND PLZHopkinsville, KY 42240-4971
Mailing AddressPo Box 614Hopkinsville, KY 42241-0614
Phone(270) 886-2205
Sole ProprietorNo
Enumeration DateOctober 23, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1497838395 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
607 HAMMOND PLZ, Hopkinsville, KY 42240
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497838395, enumerated as an "individual" on October 23, 2006.
The provider is located at 607 HAMMOND PLZ HOPKINSVILLE, KY 42240 and the phone number is (270) 886-2205.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
