Individual
TRACY ANN PEFFERKORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
403 FILMORE ST., FORDYCE, AR 71742
(870) 313-1579
(870) 352-5127
Mailing address
403 FILMORE ST., FORDYCE, AR 71742
(870) 313-1579
(870) 352-5127
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P1001005
AR
Other
Enumeration date
03/06/2007
Last updated
05/13/2024
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