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

ROSALYN ELOISE-NADINE JACKSON, LPC

Active

Professional Counselor · RUSSELLVILLE, AR

Registration Details

NPI Number
1215225438
Provider Type
Individual
Gender
Female
NPI Issued
Jul 21, 2011 (14.767797675568 yrs)
Last Updated
Apr 22, 2020
Licenses
P1601006 (AR)
P1601006 (AR)

Practice Information

Address
110 SKYLINE DR
RUSSELLVILLE, AR, 728013362
Browse AR providers · Browse ZIP 72801
Phone
4799675570
Fax
4798905364
Primary Specialty
Professional Counselor
101YP2500X
Additional Specialty
Professional Counselor

Other Professional Counselor Providers in RUSSELLVILLE, AR

Name Credential NPI
MARK A COFFMAN LPC, LADAC 1780775288
LINDA ELAINE PHILLIPS MED LICENSED PROFESS 1629168067
MANDY TIGERT LPC 1215079546
BETH STEVENS LPC 1972639326
KENNETH ROY M.A. LAC 1609099761
MELISSA LOUISE BRADLEY LPC 1518113463
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.