Individual
IAN TORNATORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
2 E CLEBURN ST, FAYETTEVILLE, AR 72701-2001
(479) 222-0896
Mailing address
2 E CLEBURN ST, FAYETTEVILLE, AR 72701-2001
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A2104006
AR
Other
Enumeration date
04/21/2021
Last updated
04/21/2021
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