Individual
JOHNATHAN DAVID STEELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, MMS, LPC, PA-C
Contact information
Practice address
2904 ARKANSAS BLVD, TEXARKANA, AR 71854-2536
(870) 773-4655
(870) 772-4650
Mailing address
2904 ARKANSAS BLVD, TEXARKANA, AR 71854-2536
(870) 773-4655
(870) 772-4650
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
57816
TX
363A00000X
Physician Assistant
Primary
PA-296
AR
363A00000X
Physician Assistant
PA050593
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
440146301
—
AR
Enumeration date
10/11/2006
Last updated
03/07/2023
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