Jackson, Rosalyn Eloise-Nadine

Jackson, Rosalyn Eloise-Nadine is an individual health care provider with primary practice located at 110 Skyline Dr , Russellville AR 72801-3362. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Jackson, Rosalyn Eloise-Nadine can be contacted via phone (479) 967-5570.

Contact Information

Primary practice address
110 Skyline Dr Russellville AR 72801-3362
Phone: (479) 967-5570
Fax: (479) 890-5364
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X P1601006 Arkansas
Behavioral Health & Social Service Providers / Professional 101YP2500X P1601006 Arkansas

Profile Details

NPI number 1215225438
LBN Legal business name Jackson, Rosalyn Eloise-Nadine
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2011
Last updated Apr 22nd, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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