Individual
KAYLI OLIVIA HUMPHREYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2413 ARMSTRONG LN, PEA RIDGE, AR 72751-5013
(208) 406-0526
Mailing address
2413 ARMSTRONG LN, PEA RIDGE, AR 72751-5013
(208) 406-0526
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12432-C
AR
Other
Enumeration date
09/23/2019
Last updated
02/18/2025
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