Kitchens, Jessica Carrie

Kitchens, Jessica Carrie is an sole proprietor health care provider with primary practice located at 4210 Frontage Rd. , Fayetteville AR 72703-5001. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Kitchens, Jessica Carrie can be contacted via phone (479) 200-0965.

Contact Information

Primary practice address
4210 Frontage Rd. Fayetteville AR 72703-5001
Phone: (479) 200-0965
Fax: (479) 935-9187
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Professional 101YP2500X P1206062 Arkansas
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 347L Arkansas
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 508408 Virginia

Profile Details

NPI number 1285914556
LBN Legal business name Kitchens, Jessica Carrie
Credentials LPC, LADAC, RPT, MAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 18th, 2011
Last updated Mar 24th, 2017 - about 9 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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