Individual
MS. JOHANNAH CREEDON MASTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ACADA, CCDP-D
Contact information
Practice address
300 E 20TH ST, HOPE, AR 71801-8217
(870) 777-9051
(870) 777-3104
Mailing address
2904 ARKANSAS BLVD, TEXARKANA, AR 71854-2536
(870) 773-4655
(870) 772-4650
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/08/2010
Last updated
12/08/2010
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