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

Kymberly Jackson

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1821555723

Kymberly Jackson is an Addiction (Substance Use Disorder) Counselor in Dayton, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2019

Practice location Address checks out

2 Stafford Ave
Dayton, OH 45405-2336
Phone: (937) 475-2424
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 168956 (OH)

Record details

NPI number1821555723
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 27, 2019
Last updated in NPPESFebruary 27, 2019

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