Individual
MRS. JAMIE F. FAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC, LAC
Contact information
Practice address
3308 REDWOOD CV, JONESBORO, AR 72404-7731
(870) 219-3606
Mailing address
3308 REDWOOD CV, JONESBORO, AR 72404-7731
(870) 219-3606
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A9812050
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063
C.A.D.C.
AR
Enumeration date
02/07/2007
Last updated
07/08/2007
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