Individual
MR. JONATHAN DANIEL MADILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1507 E RACE AVE, SEARCY, AR 72143-4661
(501) 305-2359
(501) 305-2348
Mailing address
1815 PLEASANT GROVE RD, JONESBORO, AR 72401-7870
(870) 933-6886
(870) 933-9395
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
P1601009
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A1105051
LAC
AR
Enumeration date
04/18/2012
Last updated
10/20/2016
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