Individual
MRS. SONJA RUTH KVALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5 PLAYER LANE, BELLA VISTA, AR 72715
(479) 855-0072
(479) 657-6127
Mailing address
5 PLAYER LANE, BELLA VISTA, AR 72715
(479) 855-0072
(479) 657-6127
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PO112052
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5X343
BLUE CROSS BLUE SHIELD
AR
Enumeration date
10/13/2006
Last updated
07/08/2007
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