Eydie Nerissa Cantrell, LPC Valid NPI
Individual provider · Counselor · Mountain Home, AR
- NPI
- 1073652400
- Type
- Individual (Type 1)
- Primary specialty
- Counselor
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101Y00000X
- License number
- A0607043 (AR)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2007-02-05
- Last updated
- 2009-09-03
Practice location
18 County Road 458, Child And Youth Pediatric Day Clinic
Mountain Home, AR 72653-8212
(870) 425-5252