Organization
COUNSELING SERVICES OF EASTERN ARKANSAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN JOHNSON (ASSISTANT EXECUTIVE DIRECTOR)
(870) 972-4000
Entity
Organization
Contact information
Practice address
2707 BROWNS LANE, JONESBORO, AR 72401
(870) 972-4000
(870) 972-4911
Mailing address
2707 BROWNS LANE, JONESBORO, AR 72401
(870) 972-4000
(870) 972-4911
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134589726
—
AR
Enumeration date
03/24/2006
Last updated
09/18/2009
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