Individual
KATREASA L CWRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADAC
Contact information
Practice address
224 SOUTH 5TH ST, MADISON, AR 72359
(501) 510-0453
Mailing address
PO BOX 292, MADISON, AR 72359-0292
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
420L
AR
Other
Enumeration date
07/28/2020
Last updated
10/27/2020
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