Individual
JARROD ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., LPC, LMFT
Contact information
Practice address
2105 S 54TH ST STE 2, ROGERS, AR 72758-8191
(479) 268-4557
Mailing address
12694 MILLER CHURCH RD, BENTONVILLE, AR 72712-9041
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P1805062
AR
106H00000X
Marriage & Family Therapist
1805010
AR
Other
Enumeration date
05/30/2018
Last updated
05/30/2018
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