Individual
MS. ROWENA KATHRYN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
531 BRYDEN AVENUE, LEWISTON, ID 83501
(208) 798-1646
(208) 798-5568
Mailing address
531 BRYDEN AVENUE, LEWISTON, ID 83501
(208) 798-1646
(208) 798-5568
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC658
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806555100
—
ID
Enumeration date
07/15/2011
Last updated
07/18/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us