JEFFERSON COMPREHENSIVE COUNSELING ASSOCIATES
Ambulatory Health at Malcomb St, Pine Bluff, AR

License number
Arkansas P1211108
Category
Ambulatory Health
Type
Adolescent and Children Mental Health
Owner
Name: MR. SCOTT AARON MABRY CADC, CCS
Title: CLINICAL DIRECTOR
Phone: (870) 247-5222
Address
Address
5103 W Malcomb St, Pine Bluff, AR 71602
National Provider ID: 1700228558
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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JEFFERSON COMPREHENSIVE COUNSELING ASSOCIATES

Pine Bluff, AR

Registration:
Sep 19, 2012
Addresses:
PO Box 21203, Pine Bluff, AR 71612 (Physical)
2304 W 29 Ave, Pine Bluff, AR 71603 (Physical)
State ID:
811021815
Business type:
Nonprofit Corporation
Directors:
Dennis Owens (Incorporator/Organizer),Kevin Wood (President),Cherish Billingsley (Secretary),...
Filled under act:
Dom Nonprofit Corp; 1147 of 1993

Jefferson Comprehensive Counseling Associates

5103 W Malcomb St, Pine Bluff, AR 71602

Industry:
Individual/Family Services Medical Doctor's Office Health Practitioner's Office

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