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Organization
CENFAM
Active
Organization
CENFAM
Active
Other names
Life Forward Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER MARIE ANDERSON (DIRECTOR)
(501) 747-2300
Entity
Organization
Contact information
Practice address
218 N MCKINLEY ST, LITTLE ROCK, AR 72205-3120
(501) 747-2300
(425) 660-3207
Mailing address
218 N MCKINLEY ST, LITTLE ROCK, AR 72205-3120
(501) 747-2300
(425) 660-3207
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/30/2017
Last updated
04/15/2024
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