Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kimberly Jackson

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1780319939

Kimberly Jackson is an Addiction (Substance Use Disorder) Counselor in Highland, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

11042 N 5500 W
Highland, UT 84003-9503
Phone: (801) 660-0265
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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 142864226001 (UT)
Clinical Social Worker Taxonomy 1041C0700X · Licence 142864223502 (UT)

Record details

NPI number1780319939
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 21, 2022
Last updated in NPPESMay 19, 2026
Certification dateMay 19, 2026
Mailing address11042 N 5500 W, Highland, UT 84003-9503

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