Individual
CLAY TYLER CRITTENDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPE (PROVISIONAL)
Contact information
Practice address
2420 LINWOOD DR, PARAGOULD, AR 72450-6122
(870) 236-5880
(870) 236-5757
Mailing address
2420 LINWOOD DR, PARAGOULD, AR 72450-6122
(870) 236-5880
(870) 236-5757
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11-24AE
AR
Other
Enumeration date
06/20/2011
Last updated
06/20/2011
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