Individual
KELLY R. MEARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1101 MORGAN ST, SUITE 8, PARAGOULD, AR 72450-3949
(870) 335-9483
(870) 335-9487
Mailing address
1815 PLEASANT GROVE ROAD, JONESBORO, AR 72405-7870
(870) 933-6886
(870) 933-9395
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P1201008
AR
101YP2500X
Professional Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
172458795
—
AR
05
—
227875719
—
AR
Enumeration date
03/16/2010
Last updated
07/19/2022
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