| Jennifer Burleson Lcsw, Pllc | |
|
1116 S Walton Blvd Ste 114 Bentonville AR 72712-6126 | |
| (917) 405-5514 | |
| Not Available |
| Full Name | Jennifer Burleson Lcsw, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1116 S Walton Blvd Ste 114, Bentonville, Arkansas |
| Authorized Official Name and Position | Jennifer Burleson (OWNER) |
| Authorized Official Contact | 9174055514 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Burleson Lcsw, Pllc 5215 S Brookmere St Rogers AR 72758-5097 Ph: (917) 405-5514 | Jennifer Burleson Lcsw, Pllc 1116 S Walton Blvd Ste 114 Bentonville AR 72712-6126 Ph: (917) 405-5514 |
| NPI Number | 1033852678 |
|---|---|
| Provider Enumeration Date | 04/20/2022 |
| Last Update Date | 04/20/2022 |
| Certification Date | 04/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033852678 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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