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Organization

JEFFERSON COMPREHENSIVE COUNSELING ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHERISH E BILLINGSLEY (ADMINISTRATIVE DIRECTOR)
(870) 247-5222
Entity
Organization

Contact information

Practice address
2720 W 28TH AVE, PINE BLUFF, AR 71603-4919
(870) 247-5222
(870) 671-4847
Mailing address
PO BOX 21203, WHITE HALL, AR 71612-1203
(870) 247-5222
(870) 247-4554

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
261QM0855X
Adolescent and Children Mental Health Clinic/Center
P1211108
AR

Other

Enumeration date
07/22/2013
Last updated
01/13/2021
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