Individual
MRS. BRIDGET M CRECELIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1815 PLEASANT GROVE ROAD, JONESBORO, AR 72401-7870
(870) 933-6886
(870) 933-9395
Mailing address
1815 PLEASANT GROVE ROAD, JONESBORO, AR 72401-7870
(870) 933-6886
(870) 933-9395
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P0510065
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171743795
—
AR
01
—
5Y944
BCBS
AR
Enumeration date
02/01/2007
Last updated
02/12/2016
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