VETCORE22 NPI 1053010595

NPI Information

  • NPI: 1053010595
  • Provider Name: VETCORE22
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Organization
  • Address: 1903 JEAN DR
    JONESBORO, AR
    ZIP 72404
  • Phone: (870) 243-9366

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NPI Details

VETCORE22 is an addiction (substance use disorder) counselor in Jonesboro, AR. VETCORE22 NPI is 1053010595. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1903 JEAN DR
JONESBORO, AR
ZIP 72404-949
Phone: (870) 243-9366

The provider's authorized official is Jeremy Wayne Darr .
The authorized official title is President and has the following contact phone number (870) 243-9366.

The enumeration date for this NPI number is 2/23/2023 and was last updated on 2/23/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1106S00000XBehavior TechnicianNo
2174200000XMealsNo
3177F00000XLodgingNo
4251300000XLocal Education Agency (LEA)No
5251C00000XDay Training, Developmentally Disabled ServicesNo
6251S00000XCommunity/Behavioral HealthNo
7252Y00000XEarly Intervention Provider AgencyNo
8261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
9286500000XMilitary HospitalNo
10101YA0400XCounselorAddiction (Substance Use Disorder)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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