Individual
RICKEY JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3609 BEACON ST, JONESBORO, AR 72404-8269
(870) 530-1039
Mailing address
3609 BEACON ST, JONESBORO, AR 72404-8269
(870) 530-1039
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/13/2014
Last updated
03/13/2014
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