Organization
COUNSELING ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY BUNCH (CREDENTIALING SUPERVISOR)
(479) 725-5115
Entity
Organization
Contact information
Practice address
110 SKYLINE DR, RUSSELLVILLE, AR 72801-3362
(479) 967-5570
Mailing address
110 SKYLINE DR, RUSSELLVILLE, AR 72801-3362
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/17/2021
Last updated
05/03/2022
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