Individual
BARBARA DERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
910 SE 21ST ST, BENTONVILLE, AR 72712-9776
(479) 208-7475
Mailing address
910 SE 21ST ST, BENTONVILLE, AR 72712-9776
(479) 208-7475
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2022034045
MO
101YP2500X
Professional Counselor
LPC-7727
ID
101YP2500X
Professional Counselor
Primary
P2307008
AR
Other
Enumeration date
07/09/2020
Last updated
11/26/2024
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