Individual
EMMELIA KITKOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 N COLLEGE AVE, FAYETTEVILLE, AR 72703-1944
(479) 435-4324
Mailing address
1100 N COLLEGE AVE, FAYETTEVILLE, AR 72703-1944
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/11/2017
Last updated
04/30/2025
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