Bearden, Jacquelyn
Bearden, Jacquelyn is an individual health care provider with primary practice located at 2411 W Main St , Jacksonville AR 72076-4211. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bearden, Jacquelyn can be contacted via phone (501) 982-5402.Contact Information
Primary practice address
2411 W Main St
Jacksonville AR 72076-4211
Phone: (501) 982-5402
Fax: (501) 982-5404
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | L1017 | Arkansas |
Profile Details
NPI number | 1043373616 |
---|---|
LBN Legal business name | Bearden, Jacquelyn |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 18th, 2006 |
Last updated | Jul 8th, 2007 - about 17 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.
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