person
Ms. Rowena Kathryn Jackson, LCPC
Professional Counselor in Lewiston, Idaho
NPI 1306134077

Rowena Kathryn Jackson is a Professional Counselor based in Lewiston, ID and is specialized in Professional. Rowena Kathryn Jackson practices in Lewiston, ID and has the professional credentials of LCPC. The NPI Number for Rowena Kathryn Jackson is 1306134077 and holds a License No. LPC658 (Idaho).

The current practice location address for Rowena Kathryn Jackson is 531 Bryden Avenue, Lewiston, ID and can be reached out via phone at 208-798-1646 and via fax at 208-798-5568.

Location: 531 Bryden Avenue, Lewiston, ID, 83501
person
Provider Profile Details
NPI Number
1306134077
Provider Name
Rowena Kathryn Jackson
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
531 Bryden Avenue, Lewiston, ID, 83501
Phone Number
208-798-1646
Fax Number
208-798-5568
Provider Enumeration Date
07/15/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
806555100 05 ID
institution
Provider Business Practice Location Address Details
Address
531 Bryden Avenue
City
State
Zip
83501
Phone Number
208-798-1646
Fax Number
208-798-5568
person
Provider Business Mailing Address Details
Address
531 Bryden Avenue
City
State
Zip
83501
Phone Number
208-798-1646
Fax Number
208-798-5568
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LPC658 (Idaho)
Definition
Definition to come...
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