Individual
MR. JEREMY PHILLIP DUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1704 HIGHWAY 69 BLVD, TRUMANN, AR 72472-2029
(870) 483-4003
(870) 483-4009
Mailing address
1815 PLEASANT GROVE RD, JONESBORO, AR 72401-7870
(870) 933-6886
(870) 933-9395
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P1403027
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173784795
—
AR
01
—
5CC47
BCBS
AR
Enumeration date
04/23/2007
Last updated
05/09/2018
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