Kaneisha Austin, QBHP

NPI #1205486651 in Forrest City, Arkansas

Provider Information

NPI Number: 1205486651
Entity Type: Individual
Name: Kaneisha Austin, QBHP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: QBHP
Enumeration Date: Sep 18, 2019
Last Updated: Sep 18, 2019

Practice Location

Address: 1800 LINDAUER RD
City: Forrest City
State: Arkansas
ZIP Code: 72335-2404
Phone: (870) 494-4659

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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