Individual
WILLIAM DAVID EIDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
555 FALLS BLVD N, WYNNE, AR 72396-2611
(870) 318-0565
Mailing address
555 FALLS BLVD N, WYNNE, AR 72396-2611
(870) 318-0565
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P0609052
AR
Other
Enumeration date
10/16/2006
Last updated
12/07/2020
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