Individual
KELTON GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6804 W. 12TH STREET, LITTLE ROCK, AR 72204
(501) 666-8686
Mailing address
808 KINGS MOUNTAIN DR, LITTLE ROCK, AR 72211-2517
(501) 660-6868
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/31/2011
Last updated
01/31/2011
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