Individual
BETH FORST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1502 MARY KAY BLVD, BENTON, AR 72015-7201
(501) 315-3344
Mailing address
PO BOX 1589, BENTON, AR 72018-1589
(501) 315-3344
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P2311006
AR
Other
Enumeration date
03/19/2020
Last updated
07/16/2024
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