Organization
JEFFERSON COMPREHENSIVE COUNSELING ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT AARON MABRY CADC, CCS (CLINICAL DIRECTOR)
(870) 247-5222
Entity
Organization
Contact information
Practice address
2304 W 29TH AVE, PINE BLUFF, AR 71603-5005
(870) 247-5222
(870) 671-4847
Mailing address
PO BOX 21203, WHITE HALL, AR 71612-1203
(870) 247-5222
(870) 671-4847
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
08/09/2016
Last updated
08/09/2016
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