Individual provider · Type 1 NPI

Jason Kushner, LAC

Mental Health Counselor · Malvern, AR

NPI number 1689908790 Active

Practice location

829 Halbert St
Malvern, AR 72104-2607

Fax (501) 332-4403

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XA0901018 (AR)

Mental Health Counselor: Definition to come...

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About NPI 1689908790

Jason Kushner, LAC's National Provider Identifier is 1689908790, issued on Sep 22, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Malvern, AR. The record was last updated on Sep 22, 2009.