Individual
MR. DANIEL TROY STIDHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MHPP
Contact information
Practice address
2805 NEWCASTLE DR, PARAGOULD, AR 72450-5280
(870) 565-6440
Mailing address
2805 NEWCASTLE DR, PARAGOULD, AR 72450-5280
(870) 565-6440
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/06/2008
Last updated
10/06/2008
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