Organization
MANDY KLEIN LCSW, RPT-S
Active
Organization
MANDY KLEIN LCSW, RPT-S
Active
Other names
Klein Family Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MANDY KLEIN LCSW, RPT-S (OWNER)
(901) 430-5009
Entity
Organization
Contact information
Practice address
2913 KING ST, STE 3, JONESBORO, AR 72401-5322
(870) 275-7408
(866) 591-1451
Mailing address
3205 KIRBY WHITTEN RD STE 203D, BARTLETT, TN 38134-2853
(901) 430-5009
(901) 284-0527
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2001-C
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
185952744
—
AR
05
—
Q044193
—
TN
Enumeration date
04/18/2011
Last updated
09/24/2019
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