Organization
PAM WOODSON PROFESSIONAL COUNSELING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA WOODSON LCSW (LCSW, PRESIDENT)
(479) 453-0303
Entity
Organization
Contact information
Practice address
116 S FRONT ST, DARDANELLE, AR 72834-4028
(479) 453-0303
(479) 477-5509
Mailing address
116 S FRONT ST, DARDANELLE, AR 72834-4028
(479) 453-0303
(479) 477-5509
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6456-C
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
211029719
—
AR
Enumeration date
07/18/2016
Last updated
05/16/2022
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