Organization
JILL GORMAN LPC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JILL GORMAN LPC (PRESIDENT)
(817) 681-0069
Entity
Organization
Contact information
Practice address
1501 N UNIVERSITY AVE STE 700, LITTLE ROCK, AR 72207-5297
(817) 681-0069
Mailing address
16 WOODBERRY RD, LITTLE ROCK, AR 72212-2742
(817) 681-0069
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P1212118
AR
Other
Enumeration date
04/01/2014
Last updated
05/12/2015
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