| Wilderness Blooms | |
|
1500 Main St Van Buren AR 72956-4731 | |
| (479) 352-3128 | |
| Not Available |
| Full Name | Wilderness Blooms |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1500 Main St, Van Buren, Arkansas |
| Authorized Official Name and Position | Kristin Lee Temple (COUNSELOR) |
| Authorized Official Contact | 4793523128 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wilderness Blooms 300 Nw Red Barn Cir Apt 212 Bentonville AR 72712-2498 Ph: (479) 352-3128 | Wilderness Blooms 1500 Main St Van Buren AR 72956-4731 Ph: (479) 352-3128 |
| NPI Number | 1841956067 |
|---|---|
| Provider Enumeration Date | 11/11/2021 |
| Last Update Date | 11/11/2021 |
| Certification Date | 11/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841956067 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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