| Patrick Lashane Gillette Jr, LAC | |
|
810 W Washington St # B, Camden, AR 71701-3380 | |
| (501) 802-0107 | |
| (888) 892-4015 |
| Full Name | Patrick Lashane Gillette Jr |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 810 W Washington St # B, Camden, Arkansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962349001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | A2604012 (Arkansas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick Lashane Gillette Jr, LAC 810 W Washington St # B, Camden, AR 71701-3380 Ph: (501) 802-0107 | Patrick Lashane Gillette Jr, LAC 810 W Washington St # B, Camden, AR 71701-3380 Ph: (501) 802-0107 |
Mrs. Amanda Marie Crisp, LPC, CCTP Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 Jefferson St Sw, Camden, AR 71701 Phone: 870-836-8888 Fax: 870-836-8881 | |
Gertha Browning, Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 Jefferson St Sw, Camden, AR 71701 Phone: 870-836-8888 Fax: 870-836-5545 | |
Tiffany D Hall, Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 Jefferson St Sw, Camden, AR 71701 Phone: 870-836-8888 | |
Ms. Allanna Marie Henton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 Jefferson St Sw, Camden, AR 71701 Phone: 870-836-8888 Fax: 870-836-5545 | |
Angela Robinson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 Jefferson St Sw, Camden, AR 71701 Phone: 870-836-8888 Fax: 870-836-8881 | |
M. Melinda Mcmahan, Counselor Medicare: Accepting Medicare Assignments Practice Location: 211 Jackson St Sw, Camden, AR 71701 Phone: 870-836-5743 | |
Kanesha Sarnel Hickman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 Jefferson St Sw, Camden, AR 71701 Phone: 870-836-8888 Fax: 870-836-5545 |