| Jefferson Comprehensive Counseling Associates | |
|
2720 W 28th Ave Pine Bluff AR 71603-4919 | |
| (870) 247-5222 | |
| (870) 671-4847 |
| Full Name | Jefferson Comprehensive Counseling Associates |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2720 W 28th Ave, Pine Bluff, Arkansas |
| Authorized Official Name and Position | Cherish E Billingsley (ADMINISTRATIVE 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 Po Box 21203 White Hall AR 71612-1203 Ph: (870) 247-5222 | Jefferson Comprehensive Counseling Associates 2720 W 28th Ave Pine Bluff AR 71603-4919 Ph: (870) 247-5222 |
| NPI Number | 1700228558 |
|---|---|
| Provider Enumeration Date | 07/22/2013 |
| Last Update Date | 01/13/2021 |
| Certification Date | 01/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700228558 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | P1211108 (Arkansas) | Secondary |
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