Anderson, Jessica Madalyn

Anderson, Jessica Madalyn is an individual health care provider with primary practice located at 307 E Sevier St , Benton AR 72015-3934. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Anderson, Jessica Madalyn can be contacted via phone (501) 326-6709.

Contact Information

Primary practice address
307 E Sevier St Benton AR 72015-3934
Phone: (501) 326-6709
Fax: (501) 778-0450
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1675-C Arkansas

Profile Details

NPI number 1619180627
LBN Legal business name Anderson, Jessica Madalyn
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2007
Last updated Apr 13th, 2015 - about 9 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.

Request for update

Popular Providers