Individual
MRS. HEALEY EUNICE IKERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC/LAMFT
Contact information
Practice address
4210 N FRONTAGE RD, FAYETTEVILLE, AR 72703-5001
(479) 409-8256
(479) 751-0885
Mailing address
PO BOX 11051, FAYETTEVILLE, AR 72703-1001
(479) 409-8256
(479) 751-0885
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
A0802008
AR
101YP2500X
Professional Counselor
Primary
P1108054
AR
101YP2500X
Professional Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
12/08/2006
Last updated
08/16/2020
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