person
Jessica Marie Polovtsev, LPC
Professional Counselor in Conway, Arkansas
NPI 1194950774

Jessica Marie Polovtsev is a Professional Counselor based in Conway, AR and is specialized in Professional. Jessica Marie Polovtsev practices in Conway, AR and has the professional credentials of LPC. The NPI Number for Jessica Marie Polovtsev is 1194950774 and holds a License No. P1206061 (Arkansas).

The current practice location address for Jessica Marie Polovtsev is 350 Salem Rd Ste 1, Conway, AR and can be reached out via phone at 501-336-8300 and via fax at 501-329-5508.

Location: 350 Salem Rd Ste 1, Conway, AR, 72034-6166
person
Provider Profile Details
NPI Number
1194950774
Provider Name
Jessica Marie Polovtsev
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
350 Salem Rd Ste 1, Conway, AR, 72034-6166
Phone Number
501-336-8300
Fax Number
501-329-5508
Provider Enumeration Date
05/26/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
350 Salem Rd Ste 1
City
State
Zip
72034-6166
Phone Number
501-336-8300
Fax Number
501-329-5508
person
Provider Business Mailing Address Details
Address
350 Salem Rd Ste 1
City
State
Zip
72034-6166
Phone Number
501-336-8300
Fax Number
501-329-5508
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
P1206061 (Arkansas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
P1206061 (Arkansas)
Definition
Definition to come...
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