Individual
TERRY SHOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1104 N COLLEGE ST, HUNTSVILLE, AR 72740-9672
(479) 750-2020
(479) 750-4843
Mailing address
2400 S 48TH ST, SPRINGDALE, AR 72762-6683
(479) 750-2020
(479) 750-4843
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
P1008059
AR
101YP2500X
Professional Counselor
Primary
P1008059
AR
Other
Enumeration date
01/16/2012
Last updated
07/13/2016
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