Organization · Type 2 NPI
Crucible LLC
Professional Counselor · Fayetteville, AR
NPI number
1992560155
Active
Practice location
1 W Sunbridge Dr
Fayetteville, AR 72703-1825
Mailing address
219 W Willow St
Rogers, AR 72756-5450
Other practice locations
- 5434 W Walsh Ln, Rogers, AR 72758-8946 · (970) 903-3441
- 901 S Rainbow Rd, Rogers, AR 72758-1637 · (970) 903-3441
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
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About NPI 1992560155
Crucible LLC's National Provider Identifier is 1992560155, issued on Feb 16, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fayetteville, AR. The record was last updated on Feb 16, 2024.