Clendenen, Kathleen Ellen

Clendenen, Kathleen Ellen is an sole proprietor health care provider with primary practice located at 500 S. Broadway St. , Siloam Springs AR 72761-3606. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Clendenen, Kathleen Ellen can be contacted via phone (479) 238-3950.

Contact Information

Primary practice address
500 S. Broadway St. Siloam Springs AR 72761-3606
Phone: (479) 238-3950
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X P0405018 Arkansas
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X M0408002 Arkansas

Profile Details

NPI number 1669408712
LBN Legal business name Clendenen, Kathleen Ellen
Credentials LPC, LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2006
Last updated Feb 4th, 2016 - about 8 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 1669408712 NPPES
Arkansas Other 5X992 BLUE SHIELD PROVIDER #

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