Most Relevant Information
Provider Data
| NPI Number: | 1003174079 |
| Provider Name: | JACLYN MCMILLAN BA |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/27/2012 |
| Last Updated: | 04/27/2012 |
Provider Practice Location
2153 E JOYCE BLVD
SUITE 201
FAYETTEVILLE
AR
727034714
Practice Location Phone/Fax
| Phone: | 4795759471 |
| Fax: | 4795879392 |
Provider Mailing Location
2153 JOYCE BLVD
SUITE 201
FAYETTEVILLE
AR
727035285
Provider Mailing Phone/Fax
| Phone: | 4795759471 |
| Fax: | 4795879392 |