Individual
AUDREY KAYE BARTHEL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2466 S 48TH ST, SPRINGDALE, AR 72762-6683
(479) 750-2020
(479) 750-2747
Mailing address
PO BOX 6430, SPRINGDALE, AR 72766-6430
(479) 750-2020
(479) 750-2747
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P0502008
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5Y576
BLUE SHIELD PROVIDER #
AR
Enumeration date
06/16/2006
Last updated
07/08/2007
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