REYSON JETT LAC
NPI 1881297588
Counselor - Mental Health in Magnolia, AR
About Reyson Jett Lac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REYSON JETT LAC (NPI 1881297588) is an individual mental health provider in Magnolia, Arkansas, licensed in Arkansas (A2011157) and active in the NPI registry since November 2020.
NPPES Registry Identity
Specialties & Licenses
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MAGNOLIA, AR 71753
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1881297588, enumerated as an "individual" on November 17, 2020.
The provider is located at 621 E NORTH ST MAGNOLIA, AR 71753 and the phone number is (870) 234-0739.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.