Individual
AMANDA BARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1217 STONE ST, JONESBORO, AR 72401-4520
(870) 972-1268
Mailing address
1217 STONE ST, JONESBORO, AR 72401-4520
(870) 972-1268
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
P1601003
AR
101YM0800X
Mental Health Counselor
Primary
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
228038719
—
AR
Enumeration date
11/07/2013
Last updated
01/10/2019
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