Individual
BRANDI TELLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
103 S MAIN ST, SUITE 15, MOUNTAIN HOME, AR 72653-3837
(870) 424-3630
(870) 424-3630
Mailing address
103 S MAIN ST, SUITE 15, MOUNTAIN HOME, AR 72653-3837
(870) 424-3630
(870) 424-3630
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P1508088
AR
Other
Enumeration date
08/14/2012
Last updated
06/20/2018
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