Individual provider · Type 1 NPI

Jonathan Edward Bristow, CIT

Addiction (Substance Use Disorder) Counselor · Little Rock, AR

NPI number 1083209803 Active

Practice location

8404 Baseline Rd
Little Rock, AR 72209-4339

Call (501) 663-0708 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X105 (AR)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1083209803

Jonathan Edward Bristow, CIT's National Provider Identifier is 1083209803, issued on Mar 3, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Little Rock, AR. The record was last updated on Mar 3, 2021.