Individual
ROSALYN ELOISE-NADINE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
110 SKYLINE DR, RUSSELLVILLE, AR 72801-3362
(479) 967-5570
(479) 890-5364
Mailing address
2400 S 48TH ST, SPRINGDALE, AR 72762-6683
(479) 750-2020
(479) 750-4843
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
P1601006
AR
101YP2500X
Professional Counselor
Primary
P1601006
AR
Other
Enumeration date
07/21/2011
Last updated
04/22/2020
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