Individual
CHELSEA SAMANTHA BRAWNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3201 W. KEISER AVE, OSCEOLA, AR 72370-3467
(870) 622-0592
(870) 622-0782
Mailing address
1815 PLEASANT GROVE RD, JONESBORO, AR 72405-7870
(870) 933-6886
(870) 933-9395
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
P1610159
AR
101YP2500X
Professional Counselor
Primary
P1610159
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171783795
—
AR
05
—
195280795
—
AR
Enumeration date
12/31/2012
Last updated
06/15/2021
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