Mr. Russell Earl Jackson
Mr. Russell Earl Jackson is an Addiction (Substance Use Disorder) Counselor in Tupelo, Mississippi. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
920 Boone StTupelo, MS 38804-5908
Phone: (662) 844-3531
Fax: (662) 844-1757
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1164576476 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 23, 2007 |
| Last updated in NPPES | July 8, 2007 |
Other providers in Tupelo
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Heale Counseling, LLC
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MS. Mary T Henson
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MS. Jean Whiteside Hillen
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Caryn Dawn Hood, RSSC
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Mr. Vernard R Jones, LCMHT, CCAP, MAC, ICADC
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MS. Donna Louvenia Jumper
920 Boone St, Tupelo, MS 38804-5908 · (662) 844-3531
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Mrs. Amelia T Ladreyt, MACE, LCMHT
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Mrs. Deborah Ann Lankford, MSED
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