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Individual

BRIANNA R SOUZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
324 N. 2ND ST., ROGERS, AR 72756-6647
(479) 435-4207
(479) 935-3180
Mailing address
PO BOX 9541, FAYETTEVILLE, AR 72703-0026
(479) 435-4207
(479) 935-3180

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A2306019
AR
101YM0800X
Mental Health Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
205631795
AR
Enumeration date
12/08/2014
Last updated
02/03/2026
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