Individual
TONI VAN ORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6110 T P WHITE DR, JACKSONVILLE, AR 72076
(702) 622-1096
Mailing address
158 MISSISSIPPI LOOP, JACKSONVILLE, AR 72076-1128
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/22/2025
Last updated
01/22/2025
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