Crecelius, Bridget M

Crecelius, Bridget M is an individual health care provider with primary practice located at 1815 Pleasant Grove Road , Jonesboro AR 72401-7870. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Crecelius, Bridget M can be contacted via phone (870) 933-6886.

Contact Information

Primary practice address
1815 Pleasant Grove Road Jonesboro AR 72401-7870
Phone: (870) 933-6886
Fax: (870) 933-9395
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X P0510065 Arkansas

Profile Details

NPI number 1932247392
LBN Legal business name Crecelius, Bridget M
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2007
Last updated Feb 12th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932247392 NPPES
Arkansas MEDICAID 171743795
Arkansas Other 5Y944

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