Individual
DOUGLAS ALLAN COLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
111 S. 3RD AVE., PIGGOTT, AR 72454-2634
(870) 598-0306
(870) 598-0328
Mailing address
1815 PLEASANT GROVE RD., JONESBORO, AR 72405-7870
(870) 933-6886
(870) 933-9395
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9029-C
AR
171M00000X
Case Manager/Care Coordinator
—
AR
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
194071795
—
AR
Enumeration date
10/19/2012
Last updated
03/07/2023
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