Individual
JACKIE B TESCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
250 E CENTERTON BLVD, CENTERTON, AR 72719-9240
(479) 795-1802
(479) 795-8303
Mailing address
250 E CENTERTON BLVD, CENTERTON, AR 72719-9240
(479) 795-1802
(479) 795-8303
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/11/2014
Last updated
08/11/2014
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