Individual
JUSTIN WADE KEATHLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2126 N 1ST STREET, SUITE F, JACKSONVILLE, AR 72076-2868
(501) 982-5000
(501) 982-5007
Mailing address
1815 PLEASANT GROVE ROAD, JONESBORO, AR 72405-7870
(870) 933-6886
(870) 933-9395
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7536-C
AR
Other
Enumeration date
06/27/2015
Last updated
05/11/2021
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