Alcorn, Antionne Dewayne

Alcorn, Antionne Dewayne is an sole proprietor health care provider with primary practice located at 607 N 1St St Ste 4 , Jacksonville AR 72076-4142. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Alcorn, Antionne Dewayne can be contacted via phone (501) 708-5843.

Contact Information

Primary practice address
607 N 1St St Ste 4 Jacksonville AR 72076-4142
Phone: (501) 708-5843
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1275678179
LBN Legal business name Alcorn, Antionne Dewayne
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 20th, 2007
Last updated Jul 24th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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