Individual
MONICA THEOBALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
905 MCAFEE MEDICAL CIRCLE, BEEBE, AR 72012-2217
(501) 232-2600
(501) 242-0820
Mailing address
905 MCAFEE MEDICAL CIRCLE, BEEBE, AR 72012-2217
(501) 232-2600
(501) 242-0820
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P1607065
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
195508795
—
AR
01
—
5CB88
BCBS
AR
Enumeration date
02/05/2013
Last updated
01/29/2020
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