JACKIE B TESCH
NPI 1306255716
Counselor - Mental Health in Centerton, AR
Active since August 11, 2014
About Jackie B Tesch NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACKIE B TESCH (NPI 1306255716) is an individual mental health provider in Centerton, Arkansas and active in the NPI registry since August 2014.
NPPES Registry Identity
NPI1306255716
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJACKIE B TESCH
Location Address250 E CENTERTON BLVDCenterton, AR 72719-9240
Mailing Address250 E Centerton BlvdCenterton, AR 72719-9240 · (479) 795-1802 · Fax (479) 795-8303
Phone(479) 795-1802
Fax(479) 795-8303
Sole ProprietorNo
Enumeration DateAugust 11, 2014
✔ NPI 1306255716 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
250 E CENTERTON BLVD, Centerton, AR 72719
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Professional)
250 E CENTERTON BLVD, YOUTH BRIDGE, INC.
CENTERTON, AR 72719
CENTERTON, AR 72719
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1306255716, enumerated as an "individual" on August 11, 2014.
The provider is located at 250 E CENTERTON BLVD CENTERTON, AR 72719 and the phone number is (479) 795-1802.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.