Individual
JILLIAN DENIESE STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
11700 KANIS RD STE 2, LITTLE ROCK, AR 72211-3794
(501) 221-1941
(501) 843-9656
Mailing address
11700 KANIS RD STE 2, LITTLE ROCK, AR 72211-3794
(501) 221-1941
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P1101001
AR
Other
Enumeration date
02/26/2007
Last updated
11/30/2023
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