Organization
NORTHWEST COUNSELING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM OLDHAM LPC (CEO)
(479) 855-5704
Entity
Organization
Contact information
Practice address
2705 SE G ST STE 9, BENTONVILLE, AR 72712-3742
(479) 855-5704
(479) 268-4170
Mailing address
2705 SE G ST STE 9, BENTONVILLE, AR 72712-3740
(479) 855-5704
(479) 876-8261
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
A0807035
AR
101YP2500X
Professional Counselor
Primary
P0407033
AR
1041C0700X
Clinical Social Worker
2292-C
AR
Other
Enumeration date
08/11/2010
Last updated
04/01/2014
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