Individual
JESSICA MAGNUSSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
501 S 40TH ST STE 101, SPRINGDALE, AR 72762-4819
(479) 202-8040
Mailing address
501 S 40TH ST STE 101, SPRINGDALE, AR 72762-4819
(479) 202-8040
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/21/2023
Last updated
11/21/2023
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