Organization
MENTAL HEALTH COUNSELING FOR INDIVIDUALS AND COUPLES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH RAGO (PROVIDER)
(870) 639-3907
Entity
Organization
Contact information
Practice address
3256 WEST HILLSBORO SUITE C, EL DORADO, AR 71730
(870) 639-3907
Mailing address
PO BOX 10563, EL DORADO, AR 71730-0003
(870) 639-3907
(866) 644-2617
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/25/2019
Last updated
11/25/2019
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