Individual
ANEEQA ISHTIAQ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., LPC
Contact information
Practice address
221 N EAST AVE, SUITE 104, FAYETTEVILLE, AR 72701-5226
(479) 502-3236
Mailing address
221 N EAST AVE, SUITE 104, FAYETTEVILLE, AR 72701-5226
(479) 502-3236
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P1410088
AR
101YP2500X
Professional Counselor
A1410088
AR
Other
Enumeration date
02/26/2014
Last updated
01/13/2017
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