Individual
JACKIE COOMBE-MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
COUNSELING ASSOCIATES, INC, 8 HOSPITAL DRIVE, MORRILTON, AR 72110
(501) 505-8900
(501) 505-8902
Mailing address
34 MASTERS PLACE DRIVE, MAUMELLE, AR 72113
(501) 505-8900
(501) 505-8902
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
C8291
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122013001
—
AR
Enumeration date
12/05/2006
Last updated
06/14/2019
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