Individual
KYLE CLARK ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 E MAIN ST, SUITE 310, BATESVILLE, AR 72501-4660
(870) 569-4890
Mailing address
1600 ALDERSGATE RD, SUITE 200, LITTLE ROCK, AR 72205-6676
(501) 661-0720
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
A1608108
AR
101YP2500X
Professional Counselor
Primary
P1810134
AR
171M00000X
Case Manager/Care Coordinator
—
AR
Other
Enumeration date
01/30/2007
Last updated
06/10/2019
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