Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEVONTE JACKSON
ActiveDEVONTE JACKSON is a Counselor healthcare provider located in LAKE VILLAGE, Arkansas. NPI 1417461120 is currently active in the NPPES registry. Verify at CMS.
Counselor · LAKE VILLAGE, AR
Registration Details
- NPI Number
- 1417461120
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 17, 2017 (8.5936658134979 yrs)
- Last Updated
- Nov 17, 2017
Practice Information
- Address
-
1652 S HIGHWAY 65 82LAKE VILLAGE, AR, 716531662Browse AR providers · Browse ZIP 71653
- Phone
- 8702653711
- Primary Specialty
-
Counselor
101Y00000X
Other Counselor Providers in LAKE VILLAGE, AR
| Name | Credential | NPI |
|---|---|---|
| TOMA RENEA LEE | LPE-I | 1457520538 |
| MRS. CYNTHIA ROSE CHARLESTON | MHPP | 1598912974 |
| MRS. SYLVIA LORRANE YOUNG | AT | 1790932176 |
| FANNIE BOLDEN | AT | 1558518928 |
| ATAVIA WHITFIELD | MHPP | 1538316906 |
| MRS. CATHOLA STEWART | MHPP | 1700036886 |
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.