JACKSON LAKE, LAC

Counselor - Mental Health

Active Individual
NPI: 1720763717

Practice Address

10020 N RODNEY PARHAM RD STE G
Little Rock, AR 72227

Phone: (501) 831-4314

Specialties

Specialty Code Primary License
Counselor - Mental Health 101YM0800X Yes A2305013 (AR)

Frequently Asked Questions

NPI 1720763717 is the National Provider Identifier for JACKSON LAKE, LAC, a Counselor - Mental Health provider located in Little Rock, AR. This NPI was enumerated on June 19, 2023.
JACKSON LAKE, LAC practices at 10020 N RODNEY PARHAM RD STE G, Little Rock, AR 72227.

Quick Facts

NPI
1720763717
Type
Individual
Enumerated
Jun 19, 2023
Last Updated
Jun 19, 2023

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