Individual
BRANDI TITSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
307 CHERRY ST, MENA, AR 71953-4382
(479) 394-5277
(479) 394-5546
Mailing address
PO BOX 11818, FORT SMITH, AR 72917-1818
(479) 452-6650
(479) 452-5847
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A0503018
AR
Other
Enumeration date
05/18/2007
Last updated
03/15/2010
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