Clarence Kevin Bedford, LPC
Counselor, Professional in Rogers, AR. Individual provider (NPI-1).
NPI number1922331925
StatusActive
Last updated in NPPESMar 17, 2018
Details
- NPI
- 1922331925
- Entity type
- Individual (NPI-1)
- Name
- Clarence Kevin Bedford
- Credential
- LPC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 9, 2009
- Last updated
- Mar 17, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | P1003022 | AR | Yes |
| 101Y00000X | Counselor | P1003022 | AR |
Practice location
204 S 24th StRogers, AR 72758-1129
Phone 479-621-0301 · Fax 479-899-6300
Mailing address
204 S 24th StRogers, AR 72758-1129
Phone 479-621-0301 · Fax 479-899-6300
Other practice locations
1200 W Walnut St Ste 1400
Rogers, AR 72756-3598
Rogers, AR 72756-3598
Phone 479-750-2020 · Fax 479-750-8967
1200 W Walnut St Ste 3100
Rogers, AR 72756-3524
Rogers, AR 72756-3524
Phone 479-621-0301 · Fax 479-899-6300
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