Individual provider · Type 1 NPI
Rowena Kathryn Jackson, LCPC
Professional Counselor · Lewiston, ID
NPI number
1306134077
Active
Practice location
531 Bryden Avenue
Lewiston, ID 83501
Fax (208) 798-5568
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC658 (ID) |
Professional Counselor: Definition to come...
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About NPI 1306134077
Rowena Kathryn Jackson, LCPC's National Provider Identifier is 1306134077, issued on Jul 15, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lewiston, ID. The record was last updated on Jul 18, 2019.