Individual
GRACIE GILBRETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4611 ROGERS AVE STE 200, FORT SMITH, AR 72903-3137
(479) 650-7903
(479) 452-5847
Mailing address
4611 ROGERS AVE STE 200, FORT SMITH, AR 72903-3137
(479) 650-7903
(479) 452-5847
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A2105004
AR
101YM0800X
Mental Health Counselor
Primary
P2403010
AR
Other
Enumeration date
05/25/2021
Last updated
09/20/2024
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