Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Holly Scott-Jackson, LICDC

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1356158349

Holly Scott-Jackson, LICDC is a Student in an Organized Health Care Education/Training Program in Cincinnati, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2024
Specialties on file
3
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Practice location Address checks out

446 Morgan St
Cincinnati, OH 45206-2348
Phone: (833) 510-4357
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence LICDC.162923 (OH)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence C.2506595-TRNE (OH)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LCDCIII.162756 (OH)

Record details

NPI number1356158349
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICDC
Sole proprietorYes
NPI enumeratedDecember 13, 2024
Last updated in NPPESMarch 2, 2026
Certification dateMarch 2, 2026

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