Individual
KATELYN RETHERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2711 WEST KINGSWAY SUITE 6, PARAGOULD, AR 72450
(870) 215-0673
Mailing address
PO BOX 11064, FAYETTEVILLE, AR 72703-1001
(870) 520-5014
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
233199795
—
AR
Enumeration date
05/06/2019
Last updated
07/11/2025
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