Individual
JAMAR DARNELL BLACKMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHPP
Contact information
Practice address
1600 ALDERSGATE RD, LITTLE ROCK, AR 72205-6614
(501) 661-0720
Mailing address
1411 COLUMBIA 61, MAGNOLIA, AR 71753-9014
(870) 696-3702
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/22/2010
Last updated
02/22/2010
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