Organization
HPT EDGE INC.
Active
Other names
NWA Counselor
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES RICHARD VICCARO LPC, LMFT (PRESIDENT)
(479) 310-6382
Entity
Organization
Contact information
Practice address
1601 S RAINBOW RD, ROGERS, AR 72758-8821
(479) 310-6382
(479) 254-1099
Mailing address
1601 S RAINBOW RD, ROGERS, AR 72758-8821
(479) 310-6382
(479) 254-1099
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
101YP2500X
CA
101YP2500X
Professional Counselor
Primary
P1505039
AR
106H00000X
Marriage & Family Therapist
2013015040
MO
106H00000X
Marriage & Family Therapist
M1501003
AR
106H00000X
Marriage & Family Therapist
MFC44465
CA
Other
Enumeration date
10/27/2015
Last updated
10/29/2015
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