Va Mental Health Clinic | |
1100 N College Ave Fayetteville AR 72703-1944 | |
(479) 444-5048 | |
(479) 444-5039 |
Full Name | Va Mental Health Clinic |
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Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 1100 N College Ave, Fayetteville, Arkansas |
Authorized Official Name and Position | Cindy Farmer (COMPLIANCE OFFICER) |
Authorized Official Contact | 4794444301 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Va Mental Health Clinic 2932 N Bluegrass Pl Fayetteville AR 72704-6032 Ph: (479) 841-7562 | Va Mental Health Clinic 1100 N College Ave Fayetteville AR 72703-1944 Ph: (479) 444-5048 |
NPI Number | 1043393242 |
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Provider Enumeration Date | 10/23/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043393242 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | P8812027 (Arkansas) | Primary |
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