Individual
MATTIE WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2005 E HIGHLAND DR STE 212, JONESBORO, AR 72401
(870) 882-1265
Mailing address
1218 WALNUT ST, JONESBORO, AR 72401-3861
(870) 882-1265
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2665-C
AR
Other
Enumeration date
05/14/2008
Last updated
07/09/2018
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