Individual
TAMMY M FORCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
91 W COLT SQUARE DR, SUITE 4, FAYETTEVILLE, AR 72703
(479) 268-2874
(479) 282-2971
Mailing address
P.O. BOX 1025, FAYETTEVILLE, AR 72702
(479) 268-2874
(479) 282-2971
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
P1508093
AR
101YP2500X
Professional Counselor
Primary
P1508093
AR
Other
Enumeration date
01/22/2008
Last updated
11/06/2025
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