Individual
JAMAL DEMELDRELL RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6501 W 12TH ST, LITTLE ROCK, AR 72204-1511
(870) 821-1988
Mailing address
6501 W 12TH ST, LITTLE ROCK, AR 72204-1511
(870) 821-1988
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/30/2017
Last updated
11/30/2017
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