Individual
MRS. REBECCA CHOATE FANCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
304 SE EATON ST, BENTONVILLE, AR 72712-3923
(314) 703-9313
(479) 250-9887
Mailing address
304 SE EATON ST, BENTONVILLE, AR 72712-3923
(314) 703-9313
(479) 250-9887
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5511
OK
101YM0800X
Mental Health Counselor
P1707331
AR
Other
Enumeration date
09/08/2010
Last updated
07/21/2022
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