Individual provider · Type 1 NPI

Colby Dismuke

Mental Health Counselor · Magnolia, AR

NPI number 1962804310 Active

Practice location

301 Boundary St
Magnolia, AR 71753-3305

Call (870) 234-2600 Map

Fax (870) 234-2606

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1962804310

Colby Dismuke's National Provider Identifier is 1962804310, issued on Sep 17, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Magnolia, AR. The record was last updated on Sep 17, 2014.