Organization
DYNAMIC THERAPY FAYETTEVILLE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL READ LPC (LICENSED PROFESSIONAL COUNSELOR)
(512) 497-3296
Entity
Organization
Contact information
Practice address
230 W CENTER ST, FAYETTEVILLE, AR 72701-5934
(512) 497-3296
Mailing address
230 W CENTER ST, FAYETTEVILLE, AR 72701-5934
(512) 497-3296
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/06/2022
Last updated
05/09/2024
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