| Connected Counseling Nwa | |
|
1202 Ne Mcclain Rd Bldg 7 Bentonville AR 72712-3875 | |
| (479) 439-9470 | |
| Not Available |
| Full Name | Connected Counseling Nwa |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1202 Ne Mcclain Rd Bldg 7, Bentonville, Arkansas |
| Authorized Official Name and Position | Marisa Gilbreth (OWNER) |
| Authorized Official Contact | 4794399470 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Connected Counseling Nwa 1202 Ne Mcclain Rd Bldg 7 Bentonville AR 72712-3875 Ph: (479) 439-9470 | Connected Counseling Nwa 1202 Ne Mcclain Rd Bldg 7 Bentonville AR 72712-3875 Ph: (479) 439-9470 |
| NPI Number | 1700654779 |
|---|---|
| Provider Enumeration Date | 12/19/2023 |
| Last Update Date | 12/19/2023 |
| Certification Date | 12/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700654779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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