Individual
KIRSTIE BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1400 SW SUSANA ST STE 12, BENTONVILLE, AR 72713-7877
(479) 203-7100
Mailing address
6203 S 59TH ST, ROGERS, AR 72758-4294
(479) 366-6455
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P2412024
AR
Other
Enumeration date
08/17/2021
Last updated
01/06/2025
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