Individual
ALEKSANDER FATULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
707 W CENTER AVE, SEARCY, AR 72143-5235
(501) 827-2505
Mailing address
120 MEGHAN LN, JUDSONIA, AR 72081-9302
(501) 729-4479
(501) 729-3537
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P0905027
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P0905027
LPC
AR
Enumeration date
04/13/2012
Last updated
04/13/2012
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