Individual
MRS. BETSY A DEDRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LMFT
Contact information
Practice address
5507 RANCH DR STE 202, LITTLE ROCK, AR 72223-0043
(501) 258-0050
Mailing address
5507 RANCH DR STE 202, LITTLE ROCK, AR 72223-0043
(501) 258-0050
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A2007091
AR
101YM0800X
Mental Health Counselor
Primary
P24110001
AR
106H00000X
Marriage & Family Therapist
F2007007
AR
106H00000X
Marriage & Family Therapist
M24110001
AR
Other
Enumeration date
05/16/2024
Last updated
01/15/2025
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