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JENNIFER BAUSS

>> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1336591866

Individual Registrant:
 JENNIFER  BAUSS 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
315 W 6TH ST  MOUNTAIN HOME, AR 72653-3509 US
Tel: 870-425-8642  Fax: 870-425-8652

Contact information for business:
602 N WALTON BLVD  BENTONVILLE, AR 72712-4576 US
Tel: 479-464-1060  Fax: 479-271-6307

Registration Information:
NPI: 1336591866
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101Y00000XBehavioral Health & Social Service Providers
Counselor

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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