Individual
JON MEDDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
111 E DAVIDSON ST, FAYETTEVILLE, AR 72701-3413
(479) 409-6059
Mailing address
111 E DAVIDSON ST, FAYETTEVILLE, AR 72701-3413
(479) 409-6059
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
AR
1041C0700X
Clinical Social Worker
Primary
7016-C
AR
Other
Enumeration date
06/18/2013
Last updated
04/15/2021
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