Individual
MS. JO ANN CARTER KAMINSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., LPC,ATR-BC
Contact information
Practice address
641 W 6TH ST, FAYETTEVILLE, AR 72701-6444
(479) 587-1387
Mailing address
641 W 6TH ST, FAYETTEVILLE, AR 72701-6444
(479) 587-1387
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P9503011
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5T652
BLUE CROSS BLUE SHIELD P#
AR
Enumeration date
01/19/2007
Last updated
07/08/2007
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