Individual provider · Type 1 NPI

Jeannetta Gilliam

Counselor · West Memphis, AR

NPI number 1801371422 Active

Practice location

205 W Bond Ave
West Memphis, AR 72301-3907

Mailing address

PO Box 388
Wynne, AR 72396-0388

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1801371422

Jeannetta Gilliam's National Provider Identifier is 1801371422, issued on Sep 28, 2018. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in West Memphis, AR. The record was last updated on Sep 28, 2018.