Individual
MS. DOROTHA DIANE BYNUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4301 S 16TH ST, FORT SMITH, AR 72901-8061
(479) 242-1003
(501) 510-5917
Mailing address
PO BOX 7768, VAN BUREN, AR 72956-0741
(479) 242-1003
(501) 510-5917
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P1111089
AR
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
08/08/2006
Last updated
01/06/2021
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