Individual
MRS. TARA LYNN THOMASSON PRESTRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1846 N BEST FRIEND LN, FAYETTEVILLE, AR 72704-6520
(501) 624-7111
(501) 620-5109
Mailing address
1846 N BEST FRIEND LN, FAYETTEVILLE, AR 72704-6520
(870) 866-0681
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
A0803025
AR
101YP2500X
Professional Counselor
Primary
P1110085
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116399726
—
AR
Enumeration date
05/14/2007
Last updated
03/08/2018
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