NPI 1073652400

Eydie Nerissa Cantrell, LPC

Practitioner Counselor Mountain Home, AR

Practice location

Address: 18 County Road 458 Child and Youth Pediatric Day Clinic, Mountain Home, AR 72653-8212
Phone: (870) 425-5252
Fax: (870) 425-5254
Mailing address: 18 County Road 458, Mountain Home, AR 72653-8212

Registered specialties

Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101Y00000X Licence A0607043 (AR)

Other Counselor providers in Arkansas →

Registry record

NPI: 1073652400
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Feb 2007
Record last updated: 3 Sep 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.