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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JEREMY RUSSELL ANDERSON, LPC

Active Sole Proprietor

MR. JEREMY RUSSELL ANDERSON, LPC is a Mental Health Counselor healthcare provider located in JONESBORO, Arkansas. NPI 1003946369 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · JONESBORO, AR

Registration Details

NPI Number
1003946369
Provider Type
Individual
Gender
Male
NPI Issued
Mar 6, 2007 (19.416504711731 yrs)
Last Updated
Feb 12, 2016
License
P1307080 (AR)
Sole Proprietor
Yes

Practice Information

Address
1815 PLEASANT GROVE ROAD
JONESBORO, AR, 724017870
Browse AR providers · Browse ZIP 72401
Phone
8709336886
Fax
8709339395
Primary Specialty
Mental Health Counselor
101YM0800X

Other Mental Health Counselor Providers in JONESBORO, AR

Name Credential NPI
MR. STANFORD J GRAY LCSW 1528002078
DR. HERBERT H PRICE III M.D. 1194755165
DR. JERRY D BLAYLOCK M.D. 1922038975
MR. EDWARD LOUIS LEFEBVRE LCSW 1508975780
MIKE PATTERSON LPC 1720199177
STEVEN W CURRY LPC 1932211521
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.