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KYMBERLY JACKSON
NPI 1821555723
Counselor - Addiction (Substance Use Disorder) in Dayton, OH

Active since February 27, 2019
2 STAFFORD AVE, DAYTON, OH 45405(937) 475-2424 Get Directions Write a Review

NPPES record last updated: February 27, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kymberly Jackson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KYMBERLY JACKSON (NPI 1821555723) is an individual addiction (substance use disorder) provider in Dayton, Ohio, licensed in Ohio (168956) and active in the NPI registry since February 2019.

NPPES Registry Identity

NPI1821555723
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKYMBERLY JACKSON
Location Address2 STAFFORD AVEDayton, OH 45405-2336
Mailing Address2 Stafford AveDayton, OH 45405-2336 · (937) 475-2424
Phone(937) 475-2424
Sole ProprietorYes
Enumeration DateFebruary 27, 2019
✔ NPI 1821555723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · 168956
2 STAFFORD AVE, Dayton, OH 45405
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kymberly Jackson's NPI number?

The NPI number for Kymberly Jackson is 1821555723. It was assigned to this individual provider in the NPPES registry on February 27, 2019.

Where is Kymberly Jackson located?

Kymberly Jackson practices at 2 Stafford Ave, Dayton, OH 45405. The listed phone number is (937) 475-2424.

What is Kymberly Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kymberly Jackson was last updated on February 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.