Individual
DOUGLAS SPENCER MONSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2003 SE WALTON BLVD, SUITE C, BENTONVILLE, AR 72712-3725
(479) 464-8081
(479) 464-0674
Mailing address
4253 N CROSSOVER RD, FAYETTEVILLE, AR 72703-4593
(479) 521-5731
(479) 521-4926
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
004386
MO
1041C0700X
Clinical Social Worker
Primary
1680-C
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06070012900
QUALCHOICE
AR
01
—
205071
UNITED BEHAVIORAL ID #
AR
01
—
5S425
BLUE CROSS
AR
Enumeration date
06/30/2006
Last updated
07/08/2007
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