Individual
JACLYN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
75 HWY 62-412, ASH FLAT, AR 72513
(870) 994-7060
(870) 994-7063
Mailing address
1815 PLEASANT GROVE ROAD, JONESBORO, AR 72404
(870) 933-6886
(870) 933-9395
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/01/2013
Last updated
05/01/2013
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