MR. Jeremy Russell Anderson, LPC

NPI #1003946369 in Jonesboro, Arkansas

Provider Information

NPI Number: 1003946369
Entity Type: Individual
Name: MR. Jeremy Russell Anderson, LPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: LPC
Enumeration Date: Mar 6, 2007
Last Updated: Feb 12, 2016

Practice Location

Address: 1815 PLEASANT GROVE ROAD
City: Jonesboro
State: Arkansas
ZIP Code: 72401-7870
Phone: (870) 933-6886

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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