Individual
PERCILLA COTHREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
2618 SE J ST STE 12, BENTONVILLE, AR 72712-3857
(479) 367-2866
(479) 367-2868
Mailing address
2618 SE J ST STE 12, BENTONVILLE, AR 72712-3857
(479) 367-2866
(479) 367-2868
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A2406013
AR
Other
Enumeration date
07/24/2024
Last updated
07/24/2024
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