Individual
KALAYAH ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
125 WELLNESS WAY, HOT SPRINGS, AR 71913-6478
(501) 624-7111
(501) 620-5109
Mailing address
125 WELLNESS WAY, HOT SPRINGS, AR 71913-6478
(501) 624-7111
(501) 620-5109
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P1912146
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
222860795
—
AR
Enumeration date
04/14/2016
Last updated
07/01/2020
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