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Individual

DAVID FENDLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
125 DONS WAY, HOT SPRINGS, AR 71913-6478
(501) 624-7111
(501) 620-5109
Mailing address
125 DONS WAY, HOT SPRINGS, AR 71913-6478
(501) 624-7111
(501) 620-5109

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A0610070
AR
101YP2500X
Professional Counselor
Primary
P1006042
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
116399726
AR
Enumeration date
11/06/2006
Last updated
02/03/2011
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