Individual provider · Type 1 NPI

Luke W. Jackson, LPC

Mental Health Counselor · Rogers, AR

NPI number 1376139642 Active

Practice location

2108 S 54th St Ste 3
Rogers, AR 72758-8125

Call (817) 201-5846 Map

Mailing address

29 Leicester Dr
Bella Vista, AR 72714-4100

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XA2011175
Professional Counselor 101YP2500XNone listed
Mental Health Counselor Primary 101YM0800XP2208022 (AR)

Mental Health Counselor: Definition to come...

2 other providers at this address

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About NPI 1376139642

Luke W. Jackson, LPC's National Provider Identifier is 1376139642, issued on Dec 21, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Rogers, AR. The record was last updated on Dec 6, 2022.