Individual
MR. ROYCE ALLAN STANFORD III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1225 BRECKENRIDGE DR STE 107, LITTLE ROCK, AR 72205
(501) 551-5065
Mailing address
1225 BRECKENRIDGE DR STE 107, LITTLE ROCK, AR 72205-1565
(501) 681-7165
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A1710299
AR
101YM0800X
Mental Health Counselor
F1710013
AR
Other
Enumeration date
03/08/2007
Last updated
07/30/2018
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