Individual
KAYLA DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 RIDGEWAY ST STE 5, HOT SPRINGS, AR 71901-7156
(501) 318-6066
Mailing address
1600 ALDERSGATE RD STE 200, LITTLE ROCK, AR 72205-6676
(501) 661-0720
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A2012182
AR
Other
Enumeration date
12/30/2020
Last updated
12/30/2020
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