Individual
JACLYN BARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
210 THIRD ST, NEWPORT, AR 72112-3302
(870) 523-9496
Mailing address
PO BOX 1589, BENTON, AR 72018-1589
(501) 315-3344
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A0602009
AR
Other
Enumeration date
03/14/2008
Last updated
10/08/2008
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