Individual
JEANNEKA BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4001 COMMERCIAL CENTER DR STE 2, MARION, AR 72364-9616
(870) 732-7920
(870) 732-7923
Mailing address
2809 FOREST HOME RD, JONESBORO, AR 72401-5320
(866) 972-1268
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P2209018
AR
Other
Enumeration date
08/26/2015
Last updated
09/15/2022
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