Organization
DERRICKSON WELLNESS COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA DERRICKSON (OWNER)
(501) 691-4691
Entity
Organization
Contact information
Practice address
514 W MAIN ST, HEBER SPRINGS, AR 72543-3019
(501) 691-4691
Mailing address
514 W MAIN ST, HEBER SPRINGS, AR 72543-3019
(501) 691-4691
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
23647719
—
AR
Enumeration date
03/08/2022
Last updated
03/08/2022
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