Individual
JARROD ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., LPC, LMFT
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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