Individual provider · Type 1 NPI

Jennifer Deeker Wardlow, LMSW

Mental Health Counselor · Fayetteville, AR

NPI number 1750483566 Active

Practice location

12 W Sunbridge Dr
Fayetteville, AR 72703-1822

Fax (479) 872-2441

Mailing address

PO Box 6430
Springdale, AR 72766-6430

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X1836-M (AR)

Mental Health Counselor: Definition to come...

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About NPI 1750483566

Jennifer Deeker Wardlow, LMSW's National Provider Identifier is 1750483566, issued on Sep 2, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fayetteville, AR. The record was last updated on Jul 8, 2007.