Individual provider · Type 1 NPI
Kathryn Elizabeth Antin, LPC-S, CEDS-S
Professional Counselor · Fayetteville, AR
NPI number
1497492854
Active
Practice location
19 E Mountain St Ste 13
Fayetteville, AR 72701-6067
Mailing address
4282 W Coneflower Pl
Fayetteville, AR 72704-6382
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | 86036 (TX) |
| Professional Counselor Primary | 101YP2500X | P1410083 (AR) |
Professional Counselor: Definition to come...
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About NPI 1497492854
Kathryn Elizabeth Antin, LPC-S, CEDS-S's National Provider Identifier is 1497492854, issued on May 17, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fayetteville, AR. The record was last updated on May 17, 2022.