Individual
JESSICA ARIVETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11721 CLUB HOUSE PKWY, FARMINGTON, AR 72730-8824
(479) 567-3967
Mailing address
11721 CLUB HOUSE PKWY, FARMINGTON, AR 72730-8824
(479) 567-3967
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A2201017
AR
106H00000X
Marriage & Family Therapist
F2205001
AR
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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