Wendy J Poole Llc | |
26 E Meadow St Ste 11 Fayetteville AR 72701-5357 | |
(479) 381-1652 | |
Not Available |
Full Name | Wendy J Poole Llc |
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Speciality | Counselor - Mental Health |
Location | 26 E Meadow St Ste 11, Fayetteville, Arkansas |
Authorized Official Name and Position | Wendy J Poole (COACH AND COUNSELOR) |
Authorized Official Contact | 4793811652 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Wendy J Poole Llc 475 N Elkins Rd Fayetteville AR 72704-9103 Ph: (479) 381-1652 | Wendy J Poole Llc 26 E Meadow St Ste 11 Fayetteville AR 72701-5357 Ph: (479) 381-1652 |
NPI Number | 1528419819 |
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Provider Enumeration Date | 06/28/2016 |
Last Update Date | 06/28/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528419819 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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