Individual provider · Type 1 NPI

Kyle Clark Anderson

Professional Counselor · Batesville, AR

NPI number 1114063765 Active

Practice location

500 E Main St, Suite 310
Batesville, AR 72501-4660

Call (870) 569-4890 Map

Mailing address

1600 Aldersgate Rd, Suite 200
Little Rock, AR 72205-6676

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XA1608108 (AR)
Case Manager/Care Coordinator 171M00000XNone listed
Professional Counselor Primary 101YP2500XP1810134 (AR)

Professional Counselor: Definition to come...

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About NPI 1114063765

Kyle Clark Anderson's National Provider Identifier is 1114063765, issued on Jan 30, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Batesville, AR. The record was last updated on Jun 10, 2019.