Bejarano, Beverly Jo

Bejarano, Beverly Jo is an individual health care provider with primary practice located at 2607 Caddo St Suite 6, Arkadelphia AR 71923-5307. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional, Nursing Service Providers / Registered Nurse. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Bejarano, Beverly Jo can be contacted via phone (870) 230-8217.

Contact Information

Primary practice address
2607 Caddo St Suite 6 Arkadelphia AR 71923-5307
Phone: (870) 230-8217
Fax: (870) 230-8201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X A0702007 Arkansas
Behavioral Health & Social Service Providers / Professional 101YP2500X P1006044 Arkansas
Nursing Service Providers / Registered Nurse 163W00000X R81312 Arkansas

Profile Details

NPI number 1023274347
LBN Legal business name Bejarano, Beverly Jo
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2008
Last updated Apr 6th, 2016 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023274347 NPPES
Arkansas MEDICAID 116399726

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