Individual
MRS. MARILYN JEAN MCKOWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHPP
Contact information
Practice address
1310 W MAIN ST STE 100, RUSSELLVILLE, AR 72801-2803
(479) 964-2011
Mailing address
P.O. DRAWER 2109, RUSSELLVILLE, AR 72811-2109
(479) 967-2322
(479) 967-2876
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P2402014
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173555795
—
AR
Enumeration date
08/28/2008
Last updated
03/13/2024
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