Individual
KATHRYN ELIZABETH ANTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-S, CEDS-S
Contact information
Practice address
19 E MOUNTAIN ST STE 13, FAYETTEVILLE, AR 72701-6067
(479) 309-3986
Mailing address
4282 W CONEFLOWER PL, FAYETTEVILLE, AR 72704-6382
(479) 790-9544
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
86036
TX
101YP2500X
Professional Counselor
Primary
P1410083
AR
Other
Enumeration date
05/17/2022
Last updated
05/17/2022
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