Individual
MICHELLE COLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
2126 N 1ST ST, SUITE F, JACKSONVILLE, AR 72076-2868
(501) 982-5000
(501) 982-5007
Mailing address
1815 PLEASANT GROVE ROAD, JONESBORO, AR 72405-7870
(870) 933-6886
(870) 933-9395
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A2203014
AR
101Y00000X
Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227316795
—
AR
Enumeration date
03/31/2017
Last updated
06/07/2022
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