| Creative Counseling Center Of Nwa, Pllc | |
|
902 Mcclain Rd Ste 6003 Bentonville AR 72712-6379 | |
| (479) 257-1919 | |
| Not Available |
| Full Name | Creative Counseling Center Of Nwa, Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 902 Mcclain Rd Ste 6003, Bentonville, Arkansas |
| Authorized Official Name and Position | Charlotte Evans (CO OWNER) |
| Authorized Official Contact | 4792571919 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Counseling Center Of Nwa, Pllc 902 Mcclain Rd Ste 6003 Bentonville AR 72712-6379 Ph: () - | Creative Counseling Center Of Nwa, Pllc 902 Mcclain Rd Ste 6003 Bentonville AR 72712-6379 Ph: (479) 257-1919 |
| NPI Number | 1346890027 |
|---|---|
| Provider Enumeration Date | 09/16/2019 |
| Last Update Date | 09/16/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346890027 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
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