Organization · Type 2 NPI
The Daring Space - A Private Therapy Practice
Professional Counselor · Wynne, AR
NPI number
1629654025
Active
Practice location
203 Merriman Ave E
Wynne, AR 72396-2943
Mailing address
15 Shannon Dr
Wynne, AR 72396-2536
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
Another provider at this address
Other professional counselor providers in Wynne
About NPI 1629654025
The Daring Space - A Private Therapy Practice's National Provider Identifier is 1629654025, issued on Mar 24, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Wynne, AR. The record was last updated on Mar 24, 2021.