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Jerome Humter

Counselor, Mental Health in Little Rock, AR. Individual provider (NPI-1).

NPI number1164073656
StatusActive
Last updated in NPPESSep 25, 2019

Details

NPI
1164073656
Entity type
Individual (NPI-1)
Name
Jerome Humter
Sex
Male
Sole proprietor
No
Enumeration date
Sep 25, 2019
Last updated
Sep 25, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health–ARYes

Practice location

20302 Colonel Glenn Rd
Little Rock, AR 72210-5347

Phone 501-485-6110

Mailing address

20400 Colonel Glenn Rd
Little Rock, AR 72210-5323

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