Individual
MS. MARY ANN MERNAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
714-A ASHFLAT DRIVE, ASHFLAT AR, AR 72513
(870) 994-2106
(870) 994-7868
Mailing address
PO BOX 2578, BATESVILLE, AR 72503-2578
(870) 994-2106
(870) 994-7868
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P0507049
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5Y528
—
AR
Enumeration date
08/25/2006
Last updated
07/09/2007
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