Organization
JOHN L. SHASTEEN LLC
Active
Organization
JOHN L. SHASTEEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN L SHASTEEN LCSW (BEHAVIORAL HEALTH THERAPIST)
(479) 876-8626
Entity
Organization
Contact information
Practice address
1803 SW REGIONAL AIRPORT BLVD STE 5, BENTONVILLE, AR 72712-8792
(479) 876-8626
(479) 876-8636
Mailing address
1803 SW REGIONAL AIRPORT BLVD STE 5, BENTONVILLE, AR 72712-8792
(479) 876-8626
(479) 876-8636
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-1285
AR
Other
Enumeration date
03/07/2016
Last updated
03/07/2016
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