MR. Jared Iverson Magee, MHPP
NPI #1063647105 in Russellville, Arkansas
Provider Information
- NPI Number
- 1063647105
- Entity Type
- Individual
- Name
- MR. Jared Iverson Magee, MHPP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor
- Credential
- MHPP
- Enumeration Date
- May 19, 2009
- Last Updated
- May 19, 2009
Practice Location
- Address
- 2424 W MAIN ST
- City
- Russellville
- State
- Arkansas
- ZIP Code
- 72801-2531
- Phone
- (479) 967-4673
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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