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Individual

SHELLY REAVES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, LADAC, MAC, SAP

Contact information

Practice address
1730 SE MOBERLY LN STE 5, BENTONVILLE, AR 72712-7643
(479) 422-4657
Mailing address
1730 SE MOBERLY LN STE 5, BENTONVILLE, AR 72712-7643
(479) 422-4657

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
356L
AR
101YP2500X
Professional Counselor
Primary
P1211111
AR

Other

Enumeration date
12/17/2009
Last updated
08/08/2025
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