MS. Rowena Kathryn Jackson, LCPC

NPI #1306134077 in Lewiston, Idaho

Provider Information

NPI Number: 1306134077
Entity Type: Individual
Name: MS. Rowena Kathryn Jackson, LCPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LCPC
Enumeration Date: Jul 15, 2011
Last Updated: Jul 18, 2019

Practice Location

Address: 531 BRYDEN AVENUE
City: Lewiston
State: Idaho
ZIP Code: 83501
Phone: (208) 798-1646

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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