Individual
DYLAN BLAKE VANDEVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2205 PHYLLIS ST, BENTONVILLE, AR 72712-6490
(479) 725-6000
(479) 878-1966
Mailing address
2400 S 48TH ST, SPRINGDALE, AR 72762-6683
(479) 750-2020
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A230714
AR
101YP2500X
Professional Counselor
Primary
P2512001
AR
Other
Enumeration date
08/09/2023
Last updated
12/08/2025
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