Individual
MS. NATASSIA NICHOLE WEATHARLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5905 FOREST PLACE, SUITE 230, LITTLE ROCK, AR 72207
(501) 777-3200
Mailing address
5540 LEXINGTON AVE, BENTON, AR 72019-1834
(870) 313-9072
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P1202024
AR
Other
Enumeration date
08/08/2008
Last updated
11/12/2024
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