Individual
MR. JASON R. LEWALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
4219 PATTI ANNE DR, JONESBORO, AR 72405-8405
(870) 219-6975
(870) 219-6975
Mailing address
4219 PATTI ANNE DR, JONESBORO, AR 72405-8405
(870) 219-6975
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
AR
Other
Enumeration date
03/20/2014
Last updated
12/01/2025
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