Individual
KYMBERLY WYNNE STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., L.P.C.
Contact information
Practice address
102 E SUNBRIDGE DR, SUITE 5, FAYETTEVILLE, AR 72703-2830
(479) 640-1464
(479) 750-8967
Mailing address
102 E SUNBRIDGE DR, SUITE 5, FAYETTEVILLE, AR 72703-2830
(479) 640-1464
(479) 750-8967
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
A0808054
AR
101YP2500X
Professional Counselor
Primary
P1308085
AR
Other
Enumeration date
06/16/2008
Last updated
08/06/2013
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