Individual provider · Type 1 NPI
Deandriea Bass-Carrigan, PhD
Professional Counselor · Conway, AR
NPI number
1104442565
Active
Practice location
1570 Rachel Dr
Conway, AR 72032-8619
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | P2102154 (AR) |
Professional Counselor: Definition to come...
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About NPI 1104442565
Deandriea Bass-Carrigan, PhD's National Provider Identifier is 1104442565, issued on Jun 22, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Conway, AR. The record was last updated on Oct 29, 2024.