Bedford, Clarence Kevin

Bedford, Clarence Kevin is an individual health care provider with primary practice located at 204 S 24Th St , Rogers AR 72758-1129. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Bedford, Clarence Kevin can be contacted via phone (479) 621-0301.

Contact Information

Primary practice address
204 S 24Th St Rogers AR 72758-1129
Phone: (479) 621-0301
Fax: (479) 899-6300
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X P1003022 Arkansas
Behavioral Health & Social Service Providers / Professional 101YP2500X P1003022 Arkansas

Profile Details

NPI number 1922331925
LBN Legal business name Bedford, Clarence Kevin
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2009
Last updated Mar 17th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1922331925 NPPES
Arkansas Other P1003022 AR LICENSE

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