Individual
MS. TRACY TERWILLIGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1820 CENTRAL AVE STE D, HOT SPRINGS, AR 71901-6898
(501) 463-4627
(501) 463-4629
Mailing address
291 CRESTVIEW DR, HOT SPRINGS, AR 71913-6968
(501) 520-8696
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
P0611065
AR
101Y00000X
Counselor
P0611067
AR
101YM0800X
Mental Health Counselor
Primary
P0611065
AR
Other
Enumeration date
03/27/2007
Last updated
01/05/2021
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