Jonathan Edward Bristow, CIT

NPI #1083209803 in Little Rock, Arkansas

Provider Information

NPI Number
1083209803
Entity Type
Individual
Name
Jonathan Edward Bristow, CIT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
CIT
Enumeration Date
Mar 3, 2021
Last Updated
Mar 3, 2021

Practice Location

Address
8404 BASELINE RD
ZIP Code
72209-4339
Phone
(501) 663-0708

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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