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Individual

ANITA RENEE MERRITT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
425 W BROADWAY ST, NORTH LITTLE ROCK, AR 72114-5521
(501) 747-7086
Mailing address
9408 COVENANT LN, LITTLE ROCK, AR 72204-3339
(501) 747-7086

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P1608106
AR
101YP2500X
Professional Counselor

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
231709719
AR
Enumeration date
05/15/2007
Last updated
04/22/2024
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