Individual
THERESA JANE DRIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
60 E TOWNSHIP ST STE 9, FAYETTEVILLE, AR 72703-2836
(479) 263-2271
Mailing address
60 E TOWNSHIP ST STE 9, FAYETTEVILLE, AR 72703-2836
(479) 263-2271
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P1311108
AR
Other
Enumeration date
11/07/2007
Last updated
12/12/2013
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