Individual
MS. TESSA RENEE VANDERHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
128 SOUTHWINDS RD, FARMINGTON, AR 72730-8678
(479) 222-1156
Mailing address
PO BOX 1121, PRAIRIE GROVE, AR 72753-1121
(509) 306-1102
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A2308025
AR
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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