Individual provider · Type 1 NPI
Tara Lynn Thomasson Prestridge, LPC
Professional Counselor · Fayetteville, AR
NPI number
1346455169
Active
Practice location
1846 N Best Friend Ln
Fayetteville, AR 72704-6520
Fax (501) 620-5109
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | A0803025 (AR) |
| Professional Counselor Primary | 101YP2500X | P1110085 (AR) |
Professional Counselor: Definition to come...
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About NPI 1346455169
Tara Lynn Thomasson Prestridge, LPC's National Provider Identifier is 1346455169, issued on May 14, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fayetteville, AR. The record was last updated on Mar 8, 2018.