Mr Mark Howard Kelso, LCSW is a
Counselor - Mental Health based in Jacksonville, Arkansas. Mr Mark Howard Kelso is licensed to practice in * (Not Available) (license number ) and his current practice location is
1200 James Street, Jacksonville, Arkansas. He can be reached at his office (for appointments etc.) via phone at
(501) 982-5000.
NPI number for Mr Mark Howard Kelso is 1245667237 and his current mailing address is 1815 Pleasant Grove Road, Jonesboro, Arkansas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1245667237.
Healthcare Provider's Profile
| Full Name | Mr Mark Howard Kelso |
|---|
| Gender | Male |
|---|
| Speciality | Counselor - Mental Health |
|---|
| Location | 1200 James Street, Jacksonville, Arkansas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1245667237
- Provider Enumeration Date: 10/04/2013
- Last Update Date: 12/18/2014
Medical Identifiers
Medical identifiers for Mr Mark Howard Kelso such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245667237 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | 697-C (Arkansas) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Mark Howard Kelso is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Mark Howard Kelso, LCSW
1815 Pleasant Grove Road,
Jonesboro, AR 72404
Ph: (870) 933-6886 | Mr Mark Howard Kelso, LCSW
1200 James Street,
Jacksonville, AR 72076
Ph: (501) 982-5000 |
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