person
Jackson Lake, LAC
Mental Health Counselor in Little Rock, Arkansas
NPI 1720763717

Jackson Lake is a Mental Health Counselor based in Little Rock, AR and is specialized in Mental Health. Jackson Lake practices in Little Rock, AR and has the professional credentials of LAC. The NPI Number for Jackson Lake is 1720763717 and holds a License No. A2305013 (Arkansas).

The current practice location address for Jackson Lake is 10020 N Rodney Parham Rd Ste G, Little Rock, AR and can be reached out via phone at 501-831-4314.

Location: 10020 N Rodney Parham Rd Ste G, Little Rock, AR, 72227-5588
person
Provider Profile Details
NPI Number
1720763717
Provider Name
Jackson Lake
Credential
LAC
Provider Entity Type
Individual
Gender
Male
Address
10020 N Rodney Parham Rd Ste G, Little Rock, AR, 72227-5588
Phone Number
501-831-4314
Fax Number
Provider Enumeration Date
06/19/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10020 N Rodney Parham Rd Ste G
City
State
Zip
72227-5588
Phone Number
501-831-4314
Fax Number
person
Provider Business Mailing Address Details
Address
10020 N Rodney Parham Rd Ste G
City
State
Zip
72227-5588
Phone Number
501-831-4314
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
A2305013 (Arkansas)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.

Similar Doctors in Little Rock, Arkansas: