Individual
MRS. ROBIN MICHELLE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
15 PAMELA LN, SHERWOOD, AR 72120-2645
(501) 944-4660
Mailing address
15 PAMELA LN, SHERWOOD, AR 72120-2645
(501) 944-4660
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6536-C
AR
1041C0700X
Clinical Social Worker
Primary
6536-C
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
191705795
—
AR
Enumeration date
08/17/2010
Last updated
02/03/2025
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