Provider Demographics
NPI:1790106276
Name:JARBOE, DANIEL CARL (LPC)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:CARL
Last Name:JARBOE
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2503 PINE STREET
Mailing Address - Street 2:SUITE 4
Mailing Address - City:ARKADELPHIA
Mailing Address - State:AR
Mailing Address - Zip Code:71923
Mailing Address - Country:US
Mailing Address - Phone:501-574-8681
Mailing Address - Fax:
Practice Address - Street 1:2503 PINE STREET
Practice Address - Street 2:SUITE 4
Practice Address - City:ARKADELPHIA
Practice Address - State:AR
Practice Address - Zip Code:71923
Practice Address - Country:US
Practice Address - Phone:501-574-8681
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-30
Last Update Date:2022-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0000867101YP2500X
ARP0909057101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional