Jennifer Levart
Counselor in Pea Ridge, AR. Organization (NPI-2).
NPI number1982201083
StatusActive
Last updated in NPPESOct 2, 2020
Details
- NPI
- 1982201083
- Entity type
- Organization (NPI-2)
- Legal business name
- Jennifer Levart
- Organization subpart
- No
- Enumeration date
- Oct 2, 2020
- Certification date
- Oct 2, 2020
- Last updated
- Oct 2, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
2050 Fields CvPea Ridge, AR 72751-3529
Phone 479-685-9628
Mailing address
2050 Fields CvPea Ridge, AR 72751-3529
Phone 479-685-9628
Authorized official
Jennifer Levart
Lpc
4796859628
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