Individual
DAVID FENDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
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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