Individual provider · Type 1 NPI
Pornthip Chalungsooth, L.P.C.
Counselor · Fayetteville, AR
NPI number
1104911510
Active
Practice location
525 N. Garland Ave.
Fayetteville, AR 72701
Fax (479) 575-7438
Mailing address
1005 E. Rolling Hills Dr.
Fayetteville, AR 72703
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | P9307012 (AR) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1104911510
Pornthip Chalungsooth, L.P.C.'s National Provider Identifier is 1104911510, issued on Oct 3, 2006. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Fayetteville, AR. The record was last updated on Jul 8, 2007.