Organization · Type 2 NPI
Veterans Administration Medical Center
Addiction (Substance Use Disorder) Counselor · Fayetteville, AR
NPI number
1043393242
Active
Practice location
1100 N College Ave
Fayetteville, AR 72703-1944
Fax (479) 444-5039
Mailing address
2932 N Bluegrass Pl
Fayetteville, AR 72704-6032
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | P8812027 (AR) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1043393242
Veterans Administration Medical Center's National Provider Identifier is 1043393242, issued on Oct 23, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fayetteville, AR. The record was last updated on Aug 22, 2020.