| Mountain Town Counseling | |
|
4170 W Martin Luther King Blvd Ste 901 Fayetteville AR 72704-7702 | |
| (479) 871-7449 | |
| Not Available |
| Full Name | Mountain Town Counseling |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4170 W Martin Luther King Blvd Ste 901, Fayetteville, Arkansas |
| Authorized Official Name and Position | Jennifer Kephart (OWNER/OPERATOR) |
| Authorized Official Contact | 4798717449 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Town Counseling 4170 W Martin Luther King Blvd Ste 901 Fayetteville AR 72704-7702 Ph: () - | Mountain Town Counseling 4170 W Martin Luther King Blvd Ste 901 Fayetteville AR 72704-7702 Ph: (479) 871-7449 |
| NPI Number | 1215438080 |
|---|---|
| Provider Enumeration Date | 02/26/2018 |
| Last Update Date | 02/26/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215438080 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2185-C (Arkansas) | Primary |
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