Individual
DIANA AJTUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1340 S WALDRON RD, FORT SMITH, AR 72903-2556
(479) 452-5040
(479) 452-5047
Mailing address
PO BOX 11818, FORT SMITH, AR 72917-1818
(479) 452-6650
(479) 452-5847
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P1602024
AR
Other
Enumeration date
03/08/2013
Last updated
03/17/2018
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