Individual
BRANDY TYDINGCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
300 N CLIFTON ST, FORDYCE, AR 71742-3055
(870) 352-5122
(870) 352-5127
Mailing address
300 N CLIFTON ST, FORDYCE, AR 71742-3055
(870) 352-5122
(870) 352-5127
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P1607073
AR
Other
Enumeration date
02/07/2014
Last updated
07/25/2016
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