Kennington, Jessica
Kennington, Jessica is an individual health care provider with primary practice located at 4613 Parkway Dr Ste 7 , Texarkana AR 71854-1191. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kennington, Jessica can be contacted via phone (870) 330-4095.Contact Information
Primary practice address
4613 Parkway Dr Ste 7
Texarkana AR 71854-1191
Phone: (870) 330-4095
Fax: (844) 706-5741
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
| NPI number | 1902219587 |
|---|---|
| LBN Legal business name | Kennington, Jessica |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 11th, 2014 |
| Last updated | Oct 7th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902219587 | NPPES |
| Arkansas | MEDICAID | 202688795 |
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