person
Mr. Jeremy Russell Anderson, LPC
Mental Health Counselor in Jonesboro, Arkansas
NPI 1003946369

Jeremy Russell Anderson is a Mental Health Counselor based in Jonesboro, AR and is specialized in Mental Health. Jeremy Russell Anderson practices in Jonesboro, AR and has the professional credentials of LPC. The NPI Number for Jeremy Russell Anderson is 1003946369 and holds a License No. P1307080 (Arkansas).

The current practice location address for Jeremy Russell Anderson is 1815 Pleasant Grove Road, Jonesboro, AR and can be reached out via phone at 870-933-6886 and via fax at 870-933-9395.

Location: 1815 Pleasant Grove Road, Jonesboro, AR, 72401-7870
person
Provider Profile Details
NPI Number
1003946369
Provider Name
Jeremy Russell Anderson
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
1815 Pleasant Grove Road, Jonesboro, AR, 72401-7870
Phone Number
870-933-6886
Fax Number
870-933-9395
Provider Enumeration Date
03/06/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
5WW07 01 AR BCBS
institution
Provider Business Practice Location Address Details
Address
1815 Pleasant Grove Road
City
State
Zip
72401-7870
Phone Number
870-933-6886
Fax Number
870-933-9395
person
Provider Business Mailing Address Details
Address
1815 Pleasant Grove Road
City
State
Zip
72401-7870
Phone Number
870-933-6886
Fax Number
870-933-9395
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
P1307080 (Arkansas)
Definition
Definition to come...
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