Individual
SVETLANA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
5507 W WALSH LN STE 201, ROGERS, AR 72758-8995
(479) 595-0333
Mailing address
400 NE ROYCE LOOP, BENTONVILLE, AR 72712-3352
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A2305001
AR
Other
Enumeration date
05/05/2023
Last updated
05/05/2023
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