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Individual

JESSICA DERRICKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
207 W MAIN ST STE B, HEBER SPRINGS, AR 72543-3014
(501) 206-0831
Mailing address
110 SKYLINE DR, RUSSELLVILLE, AR 72801-3362
(479) 967-5570

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P1907086
AR

Other

Enumeration date
11/08/2012
Last updated
11/03/2025
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