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Miss Jacquelyn Nichole Maddox, AT
Counselor in Trumann, Arkansas
NPI 1659508521

Jacquelyn Nichole Maddox is a Counselor based in Springdale, AR. Jacquelyn Nichole Maddox practices in Trumann, AR and has the professional credentials of AT. The NPI Number for Jacquelyn Nichole Maddox is 1659508521 and holds a License No. (Arkansas).

The current practice location address for Jacquelyn Nichole Maddox is 417 W Main St, Trumann, AR and can be reached out via phone at 870-483-7039 and via fax at 870-483-0590.

Location: 417 W Main St, Trumann, AR, 72762-0737
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659508521
Provider Name
Jacquelyn Nichole Maddox
Credential
AT
Provider Entity Type
Individual
Gender
Female
Address
417 W Main St, Trumann, AR, 72762-0737
Phone Number
870-483-7039
Fax Number
870-483-0590
Provider Enumeration Date
06/17/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
417 W Main St
City
Trumann
State
Arkansas
Zip
72472-3116
Phone Number
870-483-7039
Fax Number
870-483-0590
person
Provider Business Mailing Address Details
Address
417 W Main St
City
Trumann
State
Arkansas
Zip
72472-3116
Phone Number
870-483-7039
Fax Number
870-483-0590
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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