Individual
JENNA COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1405 HIGHWAY 62 W, MOUNTAIN HOME, AR 72653-4616
(870) 706-3421
(870) 706-3450
Mailing address
PO BOX 497, AUGUSTA, AR 72006-0497
(870) 347-2534
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8916-C
AR
104100000X
Social Worker
8916-M
AR
171M00000X
Case Manager/Care Coordinator
8916-M
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
248897719
—
AR
Enumeration date
12/05/2018
Last updated
04/22/2026
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