JASON KUSHNER

MALVERN, AR
NPI1689908790
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: AR  A0901018)
Enumeration Date2009-09-22
Last Update Date2009-09-22
Business Address
-- JASON KUSHNER LAC
829 HALBERT ST
MALVERN, AR 72104-2607
Phone number: 501-332-4400
Mailing Address
-- JASON KUSHNER LAC
829 HALBERT ST
MALVERN, AR 72104-2607
Phone number: 501-332-4400