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Individual

DESTINI TRUSTY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC-S

Contact information

Practice address
1023 MAIN ST, SUITE 211, CONWAY, AR 72032-5425
(501) 499-1174
Mailing address
1023 MAIN ST, SUITE 211, CONWAY, AR 72032-5425
(501) 499-1174

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YP2500X
Professional Counselor
Primary
251323
AR

Other

Enumeration date
05/25/2007
Last updated
08/29/2023
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