Individual
ANITA ELAINE DOREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
A0807045
AR
101YP2500X
Professional Counselor
Primary
P1008055
AR
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
MENTAL HEALTH PARAPROFESS
AR
Enumeration date
03/30/2007
Last updated
03/05/2012
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