Individual
MR. DANIEL ROBERT BONTRAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSMFT, LPC
Contact information
Practice address
120 MEGHAN LN, JUDSONIA, AR 72081-9302
(870) 664-1533
Mailing address
2400 NORMANDY, SEARCY, AR 72143-7047
(870) 664-1533
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P1506067
AR
Other
Enumeration date
06/04/2013
Last updated
08/07/2015
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