Individual
JESSICA SANDRELL PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
905 N 7TH ST, WEST MEMPHIS, AR 72301
(870) 735-5118
(870) 735-5260
Mailing address
2707 BROWNS LN, JONESBORO, AR 72401-7213
(870) 972-4939
(870) 972-4911
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
AR
104100000X
Social Worker
8963-M
AR
1041C0700X
Clinical Social Worker
Primary
8963-C
AR
Other
Enumeration date
12/29/2017
Last updated
01/13/2021
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