Individual provider · Type 1 NPI

Jordan Philip Applegate

Mental Health Counselor · Bentonville, AR

NPI number 1114692233 Active

Practice location

2003 SE Walton Blvd
Bentonville, AR 72712-3725

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XA2102204 (AR)

Mental Health Counselor: Definition to come...

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About NPI 1114692233

Jordan Philip Applegate's National Provider Identifier is 1114692233, issued on Aug 11, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bentonville, AR. The record was last updated on Aug 11, 2021.