Jackson, Johnnie Mac

Jackson, Johnnie Mac is an individual health care provider with primary practice located at 7160 N Mayo Trl , Pikeville KY 41501-3151. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Jackson, Johnnie Mac can be contacted via phone (606) 657-9988.

Contact Information

Primary practice address
7160 N Mayo Trl Pikeville KY 41501-3151
Phone: (606) 657-9988
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 254558 Kentucky

Profile Details

NPI number 1386094712
LBN Legal business name Jackson, Johnnie Mac
Credentials MSW, CSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2016
Last updated Apr 15th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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