ANTWOINE JACKSON
NPI 1922328855
Counselor in Shepherdsville, KY

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101Y00000X.

Active since June 02, 2010

130 S JOE B HALL AVE, SHEPHERDSVILLE, KY 40165(502) 589-8600(502) 589-8771 Get Directions Write a Review

NPPES record last updated: June 9, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Antwoine Jackson NPPES

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

ANTWOINE JACKSON (NPI 1922328855) is an individual counselor in Shepherdsville, Kentucky and active in the NPI registry since June 2010.

NPPES Registry Identity

NPI1922328855

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameANTWOINE JACKSON

Location Address130 S JOE B HALL AVEShepherdsville, KY 40165-0690

Mailing Address101 W Muhammad Ali BlvdLouisville, KY 40202-1423

Phone(502) 589-8600

Fax(502) 589-8771

Sole ProprietorNo

Enumeration DateJune 2, 2010

Last NPPES UpdateJune 9, 2011

✔ NPI 1922328855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

130 S JOE B HALL AVE, Shepherdsville, KY 40165

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