Individual
REYSON JETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
621 E NORTH ST, MAGNOLIA, AR 71753-3120
(870) 234-0739
(870) 234-0706
Mailing address
1600 ALDERSGATE RD STE 200, LITTLE ROCK, AR 72205-6676
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A2011157
AR
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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