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Individual

MRS. OLIVIA M JONES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2984 MCKEE CIRCLE, FAYETTEVILLE, AR 72703
(479) 268-4557
Mailing address
2098 STONEBROOK ST., SPRINGDALE, AR 72762
(970) 948-5682

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
A1301006
AR
101YP2500X
Professional Counselor
Primary
P1503017
AR
106H00000X
Marriage & Family Therapist
A1301007
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A1301006
LAC
AR
01
A1301007
LAMFT
AR
Enumeration date
02/06/2013
Last updated
05/06/2015
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