Stone Path Counseling, Plc | |
130 E Poplar St Ste C Fayetteville AR 72703 | |
(479) 435-6047 | |
(479) 755-3595 |
Full Name | Stone Path Counseling, Plc |
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Speciality | Counselor - Mental Health |
Location | 130 E Poplar St Ste C, Fayetteville, Arkansas |
Authorized Official Name and Position | Myrna Borbon Young (MENTAL HEALTH COUNSELOR) |
Authorized Official Contact | 4792258160 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Stone Path Counseling, Plc 130 E Poplar St Ste C Fayetteville AR 72703-2573 Ph: (479) 435-6047 | Stone Path Counseling, Plc 130 E Poplar St Ste C Fayetteville AR 72703 Ph: (479) 435-6047 |
NPI Number | 1023414885 |
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Provider Enumeration Date | 11/06/2014 |
Last Update Date | 02/04/2019 |
Identifier | Type | State | Issuer |
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1023414885 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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