Kelly Faye Jackson LCSW

  • NPI 1598180630
According to our database, the NPI number for Kelly Faye Jackson LCSW is 1598180630 and activated since 10 years ago. Kelly Faye Jackson LCSW is an individual provider who specializes in Clinical, and the primary practice location is 409 Vandiver Dr, Columbia, MO 65202. You can also contact Kelly Faye Jackson LCSW via telephone number is (573) 289-0792. Provider NPI information was last updated on 11/30/2016.

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Overview of Kelly Faye Jackson LCSW

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 02/26/2014
  • Last updated: 11/30/2016

Primary Scrop of Practice

  • Taxonomy Code: 1041C0700X
  • Specialty: Clinical
  • License Number: 2015020177
  • License State: MO

Provider Mailing Address

  • Address: 3007 Dahlia Dr
    Columbia, MO 65202
  • Phone: 660-238-3154
  • Fax: 573-442-7505

Provider Practice Location

  • Address: 409 Vandiver Dr
    Building 4, Suite 102
    Columbia, MO 65202
  • Phone: 573-289-0792
  • Fax: 573-442-7505

Scope of Practice

  • Taxonomy Code: 1041C0700X
  • Specialty: Clinical
  • License Number: 2015020177
  • License State: MO
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 133585346
  • Identifier Type: Other
  • Identifier State: MO
  • Issuer: CAQH

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Kelly Faye Jackson LCSW?
  • A: The npi number for Kelly Faye Jackson LCSW is 1598180630.
  • Q: What are Kelly Faye Jackson LCSW's specialties?
  • A: Kelly Faye Jackson LCSW's specialties are Clinical and different specialities.
  • Q: What is the medical license for Kelly Faye Jackson LCSW?
  • A: The medical license number for Kelly Faye Jackson LCSW is 2015020177 and issued in MO in USA.
  • Q: Where is Kelly Faye Jackson LCSW practice location?
  • A: Kelly Faye Jackson LCSW is practicing at 409 Vandiver Dr, Columbia, MO 65202.
  • Q: How to contact Kelly Faye Jackson LCSW?
  • A: You can contact Kelly Faye Jackson LCSW via 573-289-0792.