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Individual

CHARLENE FIELDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, CRC, LADAC

Contact information

Practice address
3942 E MONITOR RD, SPRINGDALE, AR 72764-2602
(479) 295-1562
Mailing address
526 N 4TH ST, ROGERS, AR 72756-3608

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
P2310012
AR
324500000X
Substance Abuse Rehabilitation Facility

Other

Enumeration date
06/14/2023
Last updated
12/18/2023
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