Provider Demographics
NPI:1104023100
Name:MCDONALD, JAMES (JIM) HOOD (MS)
Entity Type:Individual
Prefix:MR
First Name:JAMES (JIM)
Middle Name:HOOD
Last Name:MCDONALD
Suffix:
Gender:M
Credentials:MS
Other - Prefix:MR
Other - First Name:JIM
Other - Middle Name:
Other - Last Name:MCDONALD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS
Mailing Address - Street 1:950 STEEL BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:BENTON
Mailing Address - State:AR
Mailing Address - Zip Code:72015-7276
Mailing Address - Country:US
Mailing Address - Phone:501-794-2456
Mailing Address - Fax:
Practice Address - Street 1:105 RESERVE ST
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71901-4195
Practice Address - Country:US
Practice Address - Phone:501-624-4411
Practice Address - Fax:501-622-6623
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR77-57E103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling