Individual
KELLY DRYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2005 MCLAIN ST, NEWPORT, AR 72112-3662
(870) 495-1990
(870) 495-1994
Mailing address
2809 FOREST HOME RD, JONESBORO, AR 72401-5320
(866) 972-1268
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A2001012
AR
Other
Enumeration date
05/25/2017
Last updated
04/20/2021
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