| Derrickson Wellness Counseling | |
|
514 W Main St Heber Springs AR 72543-3019 | |
| (501) 691-4691 | |
| Not Available |
| Full Name | Derrickson Wellness Counseling |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 514 W Main St, Heber Springs, Arkansas |
| Authorized Official Name and Position | Jessica Derrickson (OWNER) |
| Authorized Official Contact | 5016914691 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Derrickson Wellness Counseling 514 W Main St Heber Springs AR 72543-3019 Ph: (501) 691-4691 | Derrickson Wellness Counseling 514 W Main St Heber Springs AR 72543-3019 Ph: (501) 691-4691 |
| NPI Number | 1770230872 |
|---|---|
| Provider Enumeration Date | 03/08/2022 |
| Last Update Date | 03/08/2022 |
| Certification Date | 03/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770230872 | NPI | - | NPPES |
| 23647719 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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