John L. Shasteen LLC
NPI #1265892087 in Bentonville, Arkansas
Provider Information
- NPI Number
- 1265892087
- Entity Type
- Organization
- Organization Name
- John L. Shasteen LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Mar 7, 2016
- Last Updated
- Mar 7, 2016
Practice Location
- Address
- 1803 SW REGIONAL AIRPORT BLVD STE 5
- City
- Bentonville
- State
- Arkansas
- ZIP Code
- 72712-8792
- Phone
- (479) 876-8626
Authorized Official
- Name
- JOHN L SHASTEEN, LCSW
- Title
- BEHAVIORAL HEALTH THERAPIST
- Phone
- (479) 876-8626
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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