Individual
ELIZABETH HUMPHREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
215 N COLLEGE AVE, FAYETTEVILLE, AR 72701-4238
(479) 879-1343
Mailing address
158 N CENTENNIAL AVE, WEST FORK, AR 72774-2702
(479) 879-1343
(479) 435-6276
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P2305011
AR
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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