Individual
KELSEY SANDEFUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC, NCC
Contact information
Practice address
17 BUSINESS PARK DR STE 12, GREENBRIER, AR 72058-9295
(501) 733-1453
(501) 426-8091
Mailing address
17 BUSINESS PARK DR STE 13, GREENBRIER, AR 72058-9295
(501) 733-1453
(501) 426-8091
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
A1903039
AR
101YP2500X
Professional Counselor
Primary
P2102153
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263513719
—
AR
Enumeration date
03/20/2019
Last updated
12/02/2021
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