person
Ms. Isis Jaijadea Pettway
Mental Health Counselor in Little Rock, Arkansas
NPI 1467969659

Isis Jaijadea Pettway is a Mental Health Counselor based in Little Rock, AR and is specialized in Mental Health. Isis Jaijadea Pettway practices in Little Rock, AR. The NPI Number for Isis Jaijadea Pettway is 1467969659 and holds a License No. P2304012 (Arkansas).

The current practice location address for Isis Jaijadea Pettway is 4224 Shuffield Dr, Little Rock, AR and can be reached out via phone at 501-526-8200 and via fax at 501-526-5296.

Location: 4224 Shuffield Dr, Little Rock, AR, 72205-7101
person
Provider Profile Details
NPI Number
1467969659
Provider Name
Isis Jaijadea Pettway
Credential
Provider Entity Type
Individual
Gender
Female
Address
4224 Shuffield Dr, Little Rock, AR, 72205-7101
Phone Number
501-526-8200
Fax Number
501-526-5296
Provider Enumeration Date
01/09/2018
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
4224 Shuffield Dr
City
State
Zip
72205-7211
Phone Number
501-526-8200
Fax Number
501-526-5296
person
Provider Business Mailing Address Details
Address
4224 Shuffield Dr
City
State
Zip
72205-7211
Phone Number
501-526-8200
Fax Number
501-526-5296
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
P2304012 (Arkansas)
Definition
Definition to come...
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