Jameela A Jackson, in Benton, AR - Counselor

Jameela A Jackson, is a Counselor - Professional based in Benton, Arkansas. Jameela A Jackson is licensed to practice in Arkansas (license number P1808113) and her current practice location is 6701 Highway 67, Benton, Arkansas. She can be reached at her office (for appointments etc.) via phone at (501) 303-3105.

NPI number for Jameela A Jackson is 1760781439 and her current mailing address is 6701 Highway 67 Bldg 4, Benton, Arkansas. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1760781439.

Contact Information

	Jameela A Jackson,
	6701 Highway 67, Benton, AR 72015-8909
	(501) 303-3105
	Not Available

Healthcare Provider's Profile

Full Name	Jameela A Jackson
Gender	Female
Speciality	Counselor - Professional
Location	6701 Highway 67, Benton, Arkansas
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1760781439
Provider Enumeration Date: 03/21/2011
Last Update Date: 09/19/2018

Medical Identifiers

Medical identifiers for Jameela A Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760781439	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	A1510138 (Arkansas)	Secondary
101YP2500X	Counselor - Professional	P1808113 (Arkansas)	Primary
103K00000X	Behavior Analyst	(* (Not Available))	Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jameela A Jackson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jameela A Jackson, 6701 Highway 67 Bldg 4, Benton, AR 72015-8909 Ph: (501) 821-5500	Jameela A Jackson, 6701 Highway 67, Benton, AR 72015-8909 Ph: (501) 303-3105

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Jameela A Jackson, - in Benton, AR