Individual provider · Type 1 NPI

Jordan Smith

Mental Health Counselor · Malvern, AR

NPI number 1114569118 Active

Practice location

1628 E Page Ave
Malvern, AR 72104-4524

Call (501) 315-3344 Map

Mailing address

PO Box 1589
Benton, AR 72018-1589

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1114569118

Jordan Smith's National Provider Identifier is 1114569118, issued on Oct 10, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Malvern, AR. The record was last updated on Dec 17, 2024.