Madill, Jonathan Daniel

Madill, Jonathan Daniel is an individual health care provider with primary practice located at 1507 E Race Ave , Searcy AR 72143-4661. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Madill, Jonathan Daniel can be contacted via phone (501) 305-2359.

Contact Information

Primary practice address
1507 E Race Ave Searcy AR 72143-4661
Phone: (501) 305-2359
Fax: (501) 305-2348
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X P1601009 Arkansas

Profile Details

NPI number 1366709131
LBN Legal business name Madill, Jonathan Daniel
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2012
Last updated Oct 20th, 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 1366709131 NPPES
Arkansas Other A1105051 LAC

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