EYDIE NERISSA CANTRELL

MOUNTAIN HOME, AR
NPI1073652400
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
(Licence: AR  A0607043)
Enumeration Date2007-02-05
Last Update Date2009-09-03
Business Address
Mrs. EYDIE NERISSA CANTRELL LPC
18 COUNTY ROAD 458 CHILD AND YOUTH PEDIATRIC DAY CLINIC
MOUNTAIN HOME, AR 72653-8212
Phone number: 870-425-5252
Mailing Address
Mrs. EYDIE NERISSA CANTRELL LPC
18 COUNTY ROAD 458
MOUNTAIN HOME, AR 72653-8212
Phone number: 870-425-5252