Individual
WILLIAM D OLDHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, MDIV
Contact information
Practice address
701 N WALTON BLVD STE 6, BENTONVILLE, AR 72712-4548
(479) 855-5704
(479) 268-4170
Mailing address
2705 SE G ST STE 9, BENTONVILLE, AR 72712-3742
(479) 855-5704
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
P0407033
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5X971
BCBS
AR
Enumeration date
08/30/2007
Last updated
08/24/2023
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