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JONATHAN DAVID BRUMFIELD

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1659418648

Individual Registrant:
 JONATHAN DAVID BRUMFIELD 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1507 N PECAN ST  NEWPORT, AR 72112-2867 US
Tel: 870-793-8900  Fax: 870-793-8900

Contact information for business:
PO BOX 2578  BATESVILLE, AR 72503-2578 US
Tel: 870-793-8900  Fax: 870-793-8900

Registration Information:
NPI: 1659418648
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health
ARA0910107

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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