Individual
DEBORAH PRIDEMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LMFT
Contact information
Practice address
28 KIRKCUDBRIGHT DR, BELLA VISTA, AR 72715-3601
(415) 465-4708
Mailing address
PO BOX 3251, BELLA VISTA, AR 72715-0251
(415) 465-4708
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P1512141
AR
106H00000X
Marriage & Family Therapist
M1512013
AR
Other
Enumeration date
01/09/2016
Last updated
02/01/2016
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