Individual
MRS. DEBBIE MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2420 LINWOOD DR STE 1, PARAGOULD, AR 72450-6122
(870) 236-5880
Mailing address
2809 FOREST HOME RD, JONESBORO, AR 72401-5320
(866) 972-1268
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P1401002
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
228063719
—
AR
Enumeration date
05/14/2008
Last updated
09/08/2020
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