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Individual

KEVIN NATHANIEL PHELPS SPURGERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS, LPC, NCC, TA

Contact information

Practice address
523 LOCUST AVE, CONWAY, AR 72034-5324
(501) 208-8062
(501) 208-8062
Mailing address
523 LOCUST AVE, CONWAY, AR 72034-5324
(501) 208-8062
(501) 208-8062

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
P1906080
AR
101YP2500X
Professional Counselor
Primary
P1906080

Other

Enumeration date
06/29/2016
Last updated
04/24/2024
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