Annie Myracle
Counselor, Mental Health in Springdale, AR. Individual provider (NPI-1).
NPI number1982016101
StatusActive
Last updated in NPPESJul 28, 2016
Details
- NPI
- 1982016101
- Entity type
- Individual (NPI-1)
- Name
- Annie Myracle
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 22, 2014
- Last updated
- Jul 28, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
2400 S 48th StSpringdale, AR 72762-6683
Phone 479-750-2020 · Fax 479-750-4843
Mailing address
2400 S 48th StSpringdale, AR 72762-6683
Phone 479-750-2020 · Fax 479-750-4843
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