Individual
ERICA MARY BOUGHFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2508 SE 20TH STREET, BENTONVILLE, AR 72712
(479) 750-2020
(479) 750-8967
Mailing address
2400 S. 48TH STREET, SPRINGDALE, AR 72762
(479) 750-2020
(479) 750-8967
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A0402011
AR
101YM0800X
Mental Health Counselor
Primary
P0708047
AR
Other
Enumeration date
06/28/2006
Last updated
05/24/2011
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