Individual provider · Type 1 NPI

Jason R. Lewallen, LPC

Mental Health Counselor · Jonesboro, AR

NPI number 1083031603 Active

Practice location

4219 Patti Anne Dr
Jonesboro, AR 72405-8405

Call (870) 219-6975 Map

Fax (870) 219-6975

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Professional Counselor 101YP2500XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1083031603

Jason R. Lewallen, LPC's National Provider Identifier is 1083031603, issued on Mar 20, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jonesboro, AR. The record was last updated on Dec 1, 2025.