Integrated Counseling Solutions | |
1202 Ne Mcclain Rd Ste 141 Bentonville AR 72712-3875 | |
(479) 278-4323 | |
(855) 230-2716 |
Full Name | Integrated Counseling Solutions |
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Speciality | Social Worker |
Location | 1202 Ne Mcclain Rd Ste 141, Bentonville, Arkansas |
Authorized Official Name and Position | Braden Duncan (OWNER) |
Authorized Official Contact | 4792784323 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Integrated Counseling Solutions 1202 Ne Mcclain Rd Ste 141 Bentonville AR 72712-3875 Ph: (479) 278-4323 | Integrated Counseling Solutions 1202 Ne Mcclain Rd Ste 141 Bentonville AR 72712-3875 Ph: (479) 278-4323 |
NPI Number | 1619525425 |
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Provider Enumeration Date | 08/27/2019 |
Last Update Date | 07/30/2021 |
Certification Date | 07/30/2021 |
Medicare PECOS PAC ID | 7618207333 |
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Medicare Enrollment ID | O20190924000554 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619525425 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Braden Duncan |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1427480011 PECOS PAC ID: 9436489150 Enrollment ID: I20190924000722 |
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