IndividualActive
Jonathan Bristow, CIT
NPI 1083209803 · Addiction (Substance Use Disorder) Counselor · Little Rock, AR
Provider details
- NPI number
- 1083209803
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- CIT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 105 (AR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
8404 Baseline Rd
Little Rock, AR 72209-4339
Phone: (501) 663-0708
Approximate (ZIP-level) locationGet directions
Mailing address
8404 Baseline Rd
Little Rock, AR 72209-4339
Registry dates
- Enumerated
- 2021-03-03
- Last updated
- 2021-03-03
- Certified
- 2021-03-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.