Individual provider · Type 1 NPI

Rosalyn Eloise-Nadine Jackson, LPC

Professional Counselor · Russellville, AR

NPI number 1215225438 Active

Practice location

110 Skyline Dr
Russellville, AR 72801-3362

Call (479) 967-5570 Map

Fax (479) 890-5364

Mailing address

2400 S 48th St
Springdale, AR 72762-6683

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XP1601006 (AR)
Professional Counselor Primary 101YP2500XP1601006 (AR)

Professional Counselor: Definition to come...

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About NPI 1215225438

Rosalyn Eloise-Nadine Jackson, LPC's National Provider Identifier is 1215225438, issued on Jul 21, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Russellville, AR. The record was last updated on Apr 22, 2020.