Individual
MR. JOEY MATTHEW JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1101 MORGAN ST, STE 8, PARAGOULD, AR 72450-3949
(870) 355-9483
(870) 335-9487
Mailing address
1815 PLEASANT GROVE RD, JONESBORO, AR 72401-7870
(870) 933-6886
(870) 933-9395
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9607-C
AR
Other
Enumeration date
06/03/2009
Last updated
11/08/2022
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