Individual
JAIME L HARNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
350 SALEM RD STE 1, CONWAY, AR 72034-6166
(501) 336-8300
Mailing address
2400 S 48TH ST, SPRINGDALE, AR 72762-6683
(479) 750-2020
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
P2408003
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
324635719
—
AR
Enumeration date
08/23/2021
Last updated
08/13/2024
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