JEFF TED CLINE LAC NPI 1417077819

NPI Information

  • NPI: 1417077819
  • Provider Name: JEFF TED CLINE, LAC
  • Classification: Counselor - 101Y00000X
  • Entity Type: Individual
  • Address: 4620 KEELY CV
    JONESBORO, AR
    ZIP 72404
  • Phone: (870) 933-5504

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NPI Details

Jeff Ted Cline, LAC is a counselor in Jonesboro, AR. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Jeff Ted Cline, LAC NPI is 1417077819. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4620 KEELY CV
JONESBORO, AR
ZIP 72404-182
Phone: (870) 933-5504

The enumeration date for this NPI number is 3/30/2007 and was last updated on 7/8/2007.

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
1101Y00000XCounselorA0610071ARKANSASYes

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: 3/30/2025

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