Individual
SHERRY RAINWATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2200 E MATTHEWS AVE, JONESBORO, AR 72401-4347
(870) 972-1268
Mailing address
2809 FOREST HOME RD, JONESBORO, AR 72401-5320
(866) 972-1268
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P1102013
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
226867719
—
AR
Enumeration date
04/13/2007
Last updated
10/14/2020
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