Organization
G AND J COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CICELY LEVETTE WILLIAMS L.A.C. (OWNER)
(870) 725-6475
Entity
Organization
Contact information
Practice address
930 N 26TH ST, ARKADELPHIA, AR 71923-3628
(870) 725-6475
Mailing address
930 N 26TH ST, ARKADELPHIA, AR 71923-3628
(870) 725-6475
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
A1503048
AR
Other
Enumeration date
06/07/2016
Last updated
06/07/2016
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