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Individual

KENDRA METCALF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
674 ASH FLAT DR, ASH FLAT, AR 72513-9428
(870) 345-1040
Mailing address
58 DUSTY DR, HIGHLAND, AR 72542-9484
(870) 847-3453

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A1406085
AR
101YM0800X
Mental Health Counselor
P1707336
AR
101YP2500X
Professional Counselor
Primary
P1707336
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1841624921
AR
Enumeration date
08/26/2013
Last updated
06/29/2023
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