Individual
JENNIFER GILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 NW 4TH ST, BRYANT, AR 72022
(501) 653-5061
Mailing address
15401 CHENAL PKWY APT 3208, LITTLE ROCK, AR 72211-2566
(501) 428-2287
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
A1710300
AR
Other
Enumeration date
04/15/2016
Last updated
08/23/2019
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