DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JONATHAN TEAGUE

Active Sole Proprietor

Professional Counselor · BENTON, AR

Registration Details

NPI Number
1407351562
Provider Type
Individual
Gender
Male
NPI Issued
Mar 29, 2018 (8.0803052438048 yrs)
Last Updated
Jan 31, 2022
Licenses
A1807075 (AR)
P2201001 (AR)
Sole Proprietor
Yes

Practice Information

Address
6701 HIGHWAY 67
BENTON, AR, 720158909
Browse AR providers · Browse ZIP 72015
Phone
5013153344
Primary Specialty
Professional Counselor
101YP2500X
Additional Specialty
Professional Counselor

Other Professional Counselor Providers in BENTON, AR

Name Credential NPI
MR. ANTHONY SISSON L.P.C. 1538134424
MRS. LISA DANSBY WILLIAMS MS, LAC 1023122348
MRS. KATHERINE G. WOODWORTH LPC, CRC, DCC,CCPD-D 1336259316
MR. STANLEY R DAWSON LPC 1649318536
MS. SANDY GRAYSON LPE 1609990621
MR. BOYCE FREEMAN BARGER LPC 1245359645
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.