Individual provider · Type 1 NPI

Andrew Donovan, LAC

Professional Counselor · Benton, AR

NPI number 1972043792 Active

Practice location

1502 Mary Kay Blvd
Benton, AR 72015

Mailing address

PO Box 1589
Benton, AR 72018-1589

Other practice locations

  • 3715 N Business Dr Ste 104, Fayetteville, AR 72703-5287 · (479) 575-9471

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XA1810152 (AR)
Case Manager/Care Coordinator 171M00000XNone listed
Professional Counselor Primary 101YP2500XP2110003 (AR)

Professional Counselor: Definition to come...

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About NPI 1972043792

Andrew Donovan, LAC's National Provider Identifier is 1972043792, issued on Feb 27, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Benton, AR. The record was last updated on Jan 12, 2022.