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KYLE CLARK ANDERSON

>> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1114063765

Individual Registrant:
 KYLE CLARK ANDERSON 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
500 E MAIN ST SUITE 310 BATESVILLE, AR 72501-4660 US
Tel: 870-569-4890  Fax: --

Contact information for business:
1600 ALDERSGATE RD SUITE 200 LITTLE ROCK, AR 72205-6676 US
Tel: 501-661-0720  Fax: --

Registration Information:
NPI: 1114063765
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N101Y00000XBehavioral Health & Social Service Providers
Counselor
ARA1608108
N171M00000XOther Service Providers
Case Manager/Care Coordinator
AR
Y101YP2500XBehavioral Health & Social Service Providers
Counselor
ARP1810134

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS AR - Page 1



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