| Jefferson Comprehensive Counseling Associates, Inc. | |
|
5103 W Malcomb St Pine Bluff AR 71602-4649 | |
| (870) 247-5222 | |
| (870) 247-4554 |
| Full Name | Jefferson Comprehensive Counseling Associates, Inc. |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 5103 W Malcomb St, Pine Bluff, Arkansas |
| Authorized Official Name and Position | Scott Aaron Mabry (CLINICAL DIRECTOR) |
| Authorized Official Contact | 8702475222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jefferson Comprehensive Counseling Associates, Inc. Po Box 21203 White Hall AR 71612-1203 Ph: (870) 247-5222 | Jefferson Comprehensive Counseling Associates, Inc. 5103 W Malcomb St Pine Bluff AR 71602-4649 Ph: (870) 247-5222 |
| NPI Number | 1912342692 |
|---|---|
| Provider Enumeration Date | 05/07/2013 |
| Last Update Date | 05/07/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912342692 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | P1211108 (Arkansas) | Primary |
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