Individual
JAMES BRANDON HUMPHREYS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.C.
Contact information
Practice address
108 E CENTRAL AVE STE 210, BENTONVILLE, AR 72712-5396
(479) 595-9920
Mailing address
4371 W CASTLEBURY LN, FAYETTEVILLE, AR 72704-6607
(479) 595-9920
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P1607093
AR
Other
Enumeration date
02/18/2011
Last updated
01/24/2017
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