Kuchinski, Stacey

Kuchinski, Stacey is an individual health care provider with primary practice located at 1502 Mary Kay Blvd , Benton AR 72015. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kuchinski, Stacey can be contacted via phone (501) 315-3344.

Contact Information

Primary practice address
1502 Mary Kay Blvd Benton AR 72015
Phone: (501) 315-3344
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1942243571
LBN Legal business name Kuchinski, Stacey
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Oct 8th, 2019 - about 5 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 1942243571 NPPES
Arkansas MEDICAID 1942243571

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