Individual
AARON MICKENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7107 W 12TH ST, SUITE 201, LITTLE ROCK, AR 72204-2404
(501) 663-1837
Mailing address
2695 S 2ND ST, CABOT, AR 72023-7204
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/11/2014
Last updated
07/11/2014
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