Individual
JENNIFER CONYAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3700 MEDICAL CENTER PKWY, BENTONVILLE, AR 72712-3222
(918) 800-1574
Mailing address
407 TARTAGLIA AVE, TONTITOWN, AR 72762-3073
(417) 699-0183
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A2212003
AR
Other
Enumeration date
01/25/2023
Last updated
01/25/2023
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