Spence, Gayla Jean

Spence, Gayla Jean is an individual health care provider with primary practice located at 2126 N 1St St Ste F , Jacksonville AR 72076-2868. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Spence, Gayla Jean can be contacted via phone (501) 982-5000.

Contact Information

Primary practice address
2126 N 1St St Ste F Jacksonville AR 72076-2868
Phone: (501) 982-5000
Fax: (501) 982-5007
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X P0705026 Arkansas

Profile Details

NPI number 1992902464
LBN Legal business name Spence, Gayla Jean
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2007
Last updated May 22nd, 2018 - about 6 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 1992902464 NPPES
Arkansas Other 5A490 BCBS
Arkansas MEDICAID 169547795 BCBS

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