Kveum, Michelle Raynee

Kveum, Michelle Raynee is an individual health care provider with primary practice located at 1615 Martin Luther King Blvd. , Malvern AR 72104. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Kveum, Michelle Raynee can be contacted via phone (501) 332-5236.

Contact Information

Primary practice address
1615 Martin Luther King Blvd. Malvern AR 72104
Phone: (501) 332-5236
Fax: (501) 620-5109
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X P1005027 Arkansas

Profile Details

NPI number 1851506570
LBN Legal business name Kveum, Michelle Raynee
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2007
Last updated Jul 1st, 2020 - about 4 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 1851506570 NPPES
Arkansas MEDICAID 227042719

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