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Russell Jackson, PHD

NPI 1598426884 · on the registry since 2022

Practice

Address
414 E Broadway Ste 201a
Columbia, MO 65201
Phone
(515) 460-0047
Organisation at this address
Life Work Counseling, Llc
Inferred from a shared address, not stated in the registry.

Additional practice sites

  • 211 S 8th St, Columbia, MO

Registry record

Primary taxonomy
103TP2701X
103TP2701X
Also registered as
103TC1900X
103TC0700X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-09-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri