Individual
MR. ANTIONNE DEWAYNE ALCORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
607 N 1ST ST STE 4, JACKSONVILLE, AR 72076-4142
(501) 708-5843
Mailing address
607 N 1ST ST STE 4, JACKSONVILLE, AR 72076-4142
(501) 708-5843
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
02/20/2007
Last updated
07/24/2019
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