Doctor Name: | MRS. JENNIFER JEAN LEVART |
NPI Number: | 1043468291 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | P1112092 |
Business Practice Address: | 2705 Se G St Ste 9 Bentonville, AR - 727123740 |
Business Phone Number: | 4798555704 |
Business Fax Number: | 4798768261 |
Mailing Address: | 2705 Se G St Ste 9, BENTONVILLE |
State: | AR |
Postal Code: | 727123740 |
Phone Number: | 4798555704 |
Fax Number: | 4798768261 |
NPI Enumeration Date: | 08/29/2008 |
NPI Last Update Date: | 12/08/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | P1112092 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |