Individual provider · Type 1 NPI

Kellye Gautier, LPC

Professional Counselor · Bentonville, AR

NPI number 1104272616 Active

Practice location

2003 SE Walton Blvd
Bentonville, AR 72712-3725

Call (479) 725-6000 Map

Fax (479) 750-4843

Mailing address

2400 S 48th St
Springdale, AR 72762-6683

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist 106H00000XF1411018 (AR)
Professional Counselor Primary 101YP2500XP1810135 (AR)

Professional Counselor: Definition to come...

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About NPI 1104272616

Kellye Gautier, LPC's National Provider Identifier is 1104272616, issued on May 13, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bentonville, AR. The record was last updated on Oct 17, 2018.