Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kenneth Lee Jackson Jr., LSW, LCDCIII

Individual provider Mental Health Counselor · NPI 1003328550

Kenneth Lee Jackson Jr., LSW, LCDCIII is a Mental Health Counselor in Columbus, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2017
What do these letters mean?
LSW — Licensed Social Worker
A state-licensed social worker.

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Practice location Address checks out

1430 S High St Fl 4
Columbus, OH 43207-1045
Phone: (614) 445-8131
Fax: (614) 643-6820
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence S.1700069 (OH)

Record details

NPI number1003328550
Entity typeIndividual (Type 1)
GenderMale
Credentials LSW , LCDCIII
Sole proprietorYes
NPI enumeratedOctober 24, 2017
Last updated in NPPESOctober 24, 2017

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