Individual
JASON ROBERT CATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1111 E ZION RD, FAYETTEVILLE, AR 72703-5013
(479) 530-2545
Mailing address
1111 E ZION RD, FAYETTEVILLE, AR 72703-5013
(479) 530-2545
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8066-C
AR
Other
Enumeration date
08/30/2022
Last updated
08/30/2022
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