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Individual

AMANDA KELLY LITTLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
74 W SUNBRIDGE DR, FAYETTEVILLE, AR 72703-1822
(479) 582-5565
Mailing address
428 W CIRCLE DR, FAYETTEVILLE, AR 72701-8841
(870) 897-6213

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
AA2202005
AR
101YP2500X
Professional Counselor
Primary
P2312019
AR

Other

Enumeration date
02/17/2022
Last updated
01/13/2024
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