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Contact Information

JESSICA C KITCHENS, LPC, LADAC, RPT, MAC
4210 FRONTAGE RD.
FAYETTEVILLE, AR72703-5001
 Phone: 479-200-0965
 Fax: 479-935-9187
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
 

Addiction (Substance Use Disorder)

101YA0400X
 

Counselor

101Y00000X
Indicates primary specialty

NPI Profile & details for JESSICA C KITCHENS · (Female)

NPI # 1285914556
Status Active
Credentials LPC, LADAC, RPT, MAC
Entity Individual
Enumeration date 08/18/2011
Last updated 03/24/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • AR License # 347L
  • AR License # P1206062
  • VA License # 508408
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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