Individual
MRS. JOANNIE PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
301A WASHINGTON, CAMDEN, AR 71701
(870) 836-2321
(870) 837-1195
Mailing address
301A WASHINGTON, CAMDEN, AR 71701
(870) 836-2321
(870) 837-1195
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A1008089
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
174662526
—
AR
Enumeration date
03/25/2011
Last updated
03/25/2011
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