Jackson Lake is a Little Rock, Arkansas based counselor who is specialized as Mental Health Counselor. Active license number of Jackson Lake is A2305013 for Mental Health Counselor in Arkansas. His current practice location is 10020 N Rodney Parham Rd Ste G, Little Rock. Patients can book an appointment with him at 501-831-4314.
Jackson Lake is a licensed professional who helps individuals, couples, and families manage and overcome emotional, psychological, and behavioral challenges. He assess clients’ mental health conditions and develop personalized treatment plans to provide therapy for a range of mental health issues, including anxiety, depression, trauma, relationship issues, stress, grief, and life transitions.
Complete Profile:
Jackson Lake speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Jackson Lake
Specialization:
Mental Health Counselor
Gender:
Male
Credentials:
LAC
Accepts Medicare Assignment:
No
Practice Address:
10020 N Rodney Parham Rd Ste G, Little Rock, Arkansas, 72227-5588
Phone:
501-831-4314
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1720763717
NPI Enumeration Date:
19 Jun, 2023
NPI Last Update On:
19 Jun, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jackson Lake are as mentioned below.
License Number
Specialization
State
Status
A2305013
Mental Health Counselor
Arkansas
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
10020 N Rodney Parham Rd Ste G, Little Rock, Arkansas
Zip:
72227-5588
Patients can reach Jackson Lake at 10020 N Rodney Parham Rd Ste G, Little Rock, Arkansas or can call to book an appointment on 501-831-4314. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 July, 2025.