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Individual

ELON CRAIGMYLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
74 W SUNBRIDGE DR, FAYETTEVILLE, AR 72703-1822
(479) 582-5565
(479) 582-5574
Mailing address
3280 GULLEY LN, FARMINGTON, AR 72730-5020
(417) 343-8275

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A2604002
AR

Other

Enumeration date
04/09/2026
Last updated
04/20/2026
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