Organization
HUMPHREYS COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES BRANDON HUMPHREYS L.P.C. (OWNER)
(479) 595-9920
Entity
Organization
Contact information
Practice address
108 E CENTRAL AVE STE 210, BENTONVILLE, AR 72712-5396
(479) 595-9920
Mailing address
4371 W CASTLEBURY LN, FAYETTEVILLE, AR 72704-6607
(479) 595-9920
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
P1607093
AR
Other
Enumeration date
01/30/2017
Last updated
01/30/2017
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