Provider Demographics
NPI:1356592679
Name:BEEVERS, JACQUELYN FRANCIS (LCSW)
Entity type:Individual
Prefix:MRS
First Name:JACQUELYN
Middle Name:FRANCIS
Last Name:BEEVERS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
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Mailing Address - Street 1:1815 PLEASANT GROVE ROAD
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72404
Mailing Address - Country:US
Mailing Address - Phone:870-933-6886
Mailing Address - Fax:870-933-9395
Practice Address - Street 1:700 S. MAIN
Practice Address - Street 2:
Practice Address - City:MT HOME
Practice Address - State:AR
Practice Address - Zip Code:72653
Practice Address - Country:US
Practice Address - Phone:870-425-1041
Practice Address - Fax:870-425-1049
Is Sole Proprietor?:No
Enumeration Date:2008-10-06
Last Update Date:2018-08-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AR1007-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical