Individual
WHITNEY NELLORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
2104 SE 14TH ST, BENTONVILLE, AR 72712-6902
(417) 389-3348
Mailing address
2104 SE 14TH ST, BENTONVILLE, AR 72712-6902
(417) 389-3348
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P1612195
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P1612195
P1612195 LPC
AR
Enumeration date
07/08/2014
Last updated
03/15/2020
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