Individual
STEPHEN JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW, LADAC
Contact information
Practice address
4260 STOCKTON DR STE A, NORTH LITTLE ROCK, AR 72117-2915
(501) 389-8230
Mailing address
168 CINDY LN, SEARCY, AR 72143-9429
(417) 684-0455
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
AR
104100000X
Social Worker
Primary
12153-M
AR
Other
Enumeration date
07/12/2022
Last updated
07/12/2022
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