| Kajsiab Therapy, Pllc | |
|
1003 Se 14th St Ste 4 Bentonville AR 72712-6897 | |
| (479) 348-3637 | |
| Not Available |
| Full Name | Kajsiab Therapy, Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1003 Se 14th St Ste 4, Bentonville, Arkansas |
| Authorized Official Name and Position | May Youa Vue (OWNER) |
| Authorized Official Contact | 4793483637 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kajsiab Therapy, Pllc 1003 Se 14th St Ste 4 Bentonville AR 72712-6897 Ph: (479) 348-3637 | Kajsiab Therapy, Pllc 1003 Se 14th St Ste 4 Bentonville AR 72712-6897 Ph: (479) 348-3637 |
| NPI Number | 1558111955 |
|---|---|
| Provider Enumeration Date | 03/26/2024 |
| Last Update Date | 07/18/2024 |
| Certification Date | 07/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558111955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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