MRS. Eydie Nerissa Cantrell, LPC
NPI #1073652400 in Mountain Home, Arkansas
Provider Information
- NPI Number
- 1073652400
- Entity Type
- Individual
- Name
- MRS. Eydie Nerissa Cantrell, LPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor
- Credential
- LPC
- Enumeration Date
- Feb 5, 2007
- Last Updated
- Sep 3, 2009
Practice Location
- Address
- 18 COUNTY ROAD 458
- Address 2
- CHILD AND YOUTH PEDIATRIC DAY CLINIC
- City
- Mountain Home
- State
- Arkansas
- ZIP Code
- 72653-8212
- Phone
- (870) 425-5252
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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