NPI 1003946369

Jeremy Russell Anderson, LPC

Practitioner Mental Health Counselor Jonesboro, AR

Practice location

Address: 1815 Pleasant Grove Road, Jonesboro, AR 72401-7870
Phone: (870) 933-6886
Fax: (870) 933-9395

Registered specialties

Mental Health Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence P1307080 (AR)

Other Counselor providers in Arkansas →

Registry record

NPI: 1003946369
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Mar 2007
Record last updated: 12 Feb 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.