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Organization
PUZZLE COLLABORATIVE
Active
Organization
PUZZLE COLLABORATIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA C KITCHENS LPC, LADAC, MAC, CAS (OWNER)
(479) 200-0965
Entity
Organization
Contact information
Practice address
34 W COLT SQUARE DR STE 1, FAYETTEVILLE, AR 72703-2888
(479) 200-0965
(479) 935-9187
Mailing address
1189 LEELYNJEAN LN, SPRINGDALE, AR 72762-0801
(479) 200-0965
(918) 747-9935
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
01/16/2020
Last updated
01/16/2020
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