JESSE KOSKOVICK L.A.C. NPI 1891327383

NPI Information

NPI: 1891327383
Provider Name: JESSE KOSKOVICK, L.A.C.
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
2113 S 54TH ST STE 5
ROGERS, AR
ZIP 72758
Phone: (402) 210-8224
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Jesse Koskovick, L.A.C. is a counselor in Rogers, 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. Jesse Koskovick, L.A.C. NPI is 1891327383. 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:

2113 S 54TH ST STE 5
ROGERS, AR
ZIP 72758-169
Phone: (402) 210-8224

The enumeration date for this NPI number is 2/12/2020 and was last updated on 1/17/2022.

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
1	106S00000X	Behavior Technician		19-77966	ARKANSAS	No
2	101Y00000X	Counselor		A2107016		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: 11/14/2023

NPI Synchronization or Removal

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