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1083031603
JASON R. LEWALLEN
JONESBORO, AR
NPI
1083031603
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
101YP2500X Counselor, Professional
Enumeration Date
2014-03-20
Last Update Date
2021-04-30
Business Address
Mr. JASON R. LEWALLEN LPC
1815 PLEASANT GROVE ROAD
JONESBORO, AR 72404
Phone number: 870-933-6886
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Mailing Address
Mr. JASON R. LEWALLEN LPC
1815 PLEASANT GROVE ROAD
JONESBORO, AR 72404
Phone number: 870-933-6886
Copy
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