Individual
BEVERLY JO BEJARANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2607 CADDO ST, SUITE 6, ARKADELPHIA, AR 71923-5307
(870) 230-8217
(870) 230-8201
Mailing address
1036 N. 15TH STREET, ARKADELPHIA, AR 71913
(870) 403-6708
(501) 620-5109
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
A0702007
AR
101YP2500X
Professional Counselor
Primary
P1006044
AR
163W00000X
Registered Nurse
R81312
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116399726
—
AR
Enumeration date
08/06/2008
Last updated
04/06/2016
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