Sallee Mental Health Services And Consulting | |
1500 Main St Van Buren AR 72956-4731 | |
(479) 922-5144 | |
Not Available |
Full Name | Sallee Mental Health Services And Consulting |
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Speciality | Counselor |
Location | 1500 Main St, Van Buren, Arkansas |
Authorized Official Name and Position | Katherleen Sallee (LICENSED PROFESSIONAL COUNSELOR) |
Authorized Official Contact | 4798836362 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Sallee Mental Health Services And Consulting 3327 S 35th St Fort Smith AR 72903-4456 Ph: (479) 883-6362 | Sallee Mental Health Services And Consulting 1500 Main St Van Buren AR 72956-4731 Ph: (479) 922-5144 |
NPI Number | 1710610928 |
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Provider Enumeration Date | 07/05/2022 |
Last Update Date | 07/08/2022 |
Certification Date | 07/08/2022 |
Medicare PECOS PAC ID | 5799138376 |
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Medicare Enrollment ID | O20240131000364 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710610928 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Katherleen Marie Sallee |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1225494925 PECOS PAC ID: 6608229281 Enrollment ID: I20240207000350 |
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