Individual provider · Type 1 NPI
Rickey Jackson
Mental Health Counselor · Jonesboro, AR
NPI number
1962828954
Active
Practice location
3609 Beacon St
Jonesboro, AR 72404-8269
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1962828954
Rickey Jackson's National Provider Identifier is 1962828954, issued on Mar 13, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jonesboro, AR. The record was last updated on Mar 13, 2014.