Individual
MRS. SANDRA M UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., LPC, LAMFT
Contact information
Practice address
615 N WALTON BLVD, SUITE M, BENTONVILLE, AR 72712-4546
(479) 270-2806
(870) 455-4485
Mailing address
615 N WALTON BLVD, SUITE M, BENTONVILLE, AR 72712-4546
(479) 270-2806
(870) 455-4485
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P1701231
AR
106H00000X
Marriage & Family Therapist
A1204003
AR
Other
Enumeration date
10/28/2009
Last updated
01/31/2017
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