Organization
PATHWAYS MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACRALL WILSON LPC (LPC)
(479) 675-6997
Entity
Organization
Contact information
Practice address
16135 HIGHWAY 71 S, GREENWOOD, AR 72936-7218
(479) 675-6997
Mailing address
16135 HIGHWAY 71 S, GREENWOOD, AR 72936-7218
(479) 675-6997
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
05/28/2024
Last updated
05/28/2024
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