Individual
MR. KACEY MATTHEW JOHNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
2504 MCCAIN BLVD STE 200, NORTH LITTLE ROCK, AR 72116-7612
(501) 781-2230
Mailing address
8805 BARBER ST, SHERWOOD, AR 72120-2981
(870) 819-5799
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P2510010
AR
Other
Enumeration date
09/13/2022
Last updated
10/12/2025
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