Individual
JORDAN WILKISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
1521 N WASHINGTON ST, FORREST CITY, AR 72335-2152
(870) 633-8092
(870) 633-8358
Mailing address
1521 N WASHINGTON ST, FORREST CITY, AR 72335-2152
(870) 633-8092
(870) 633-8358
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A1703195
AR
Other
Enumeration date
04/07/2017
Last updated
04/07/2017
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