Organization · Type 2 NPI
Jefferson Comprehensive Counseling Associates
Substance Use Disorder Rehabilitation Clinic/Center · Pine Bluff, AR
NPI number
1013461987
Active
Practice location
2304 W 29th Ave
Pine Bluff, AR 71603-5005
Fax (870) 671-4847
Mailing address
PO Box 21203
White Hall, AR 71612-1203
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | None listed |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
5 other providers at this address
- Med79Family Medicine Physician Pine Bluff, AR NPI 1356117626
- Karen Marie Appleget, LPCMental Health Counselor Pine Bluff, AR NPI 1952546194
- Madeline Noel Fults, CITAddiction (Substance Use Disorder) Counselor Pine Bluff, AR NPI 1962896217
- Roger Cameron, ACADC, CCSAddiction (Substance Use Disorder) Counselor Pine Bluff, AR NPI 1538553896
- Scott Aaron Mabry, CADC, CCSAddiction (Substance Use Disorder) Counselor Pine Bluff, AR NPI 1225422561
About NPI 1013461987
Jefferson Comprehensive Counseling Associates's National Provider Identifier is 1013461987, issued on Aug 9, 2016. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Pine Bluff, AR. The record was last updated on Aug 9, 2016.