Individual
JACLYN MCMILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
2153 E JOYCE BLVD, SUITE 201, FAYETTEVILLE, AR 72703-4714
(479) 575-9471
(479) 587-9392
Mailing address
2153 JOYCE BLVD, SUITE 201, FAYETTEVILLE, AR 72703-5285
(479) 575-9471
(479) 587-9392
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/27/2012
Last updated
04/27/2012
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