Individual
FALLON PEACOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 NW 4TH ST, BRYANT, AR 72022-3424
(501) 847-5660
(501) 847-5662
Mailing address
317 DOGWOOD PLACE DR, BRYANT, AR 72022-2839
(501) 722-2044
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/22/2018
Last updated
08/22/2018
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