Individual
FERRELL BONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4224 SHUFFIELD DR, LITTLE ROCK, AR 72205-7211
(501) 526-8200
(501) 526-5296
Mailing address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 666-8000
(501) 526-5148
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
11168-M
AR
1041C0700X
Clinical Social Worker
Primary
11168-C
AR
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/11/2020
Last updated
06/04/2024
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