| NPI | 1457723686 |
|---|---|
| Doing Business As | NWA COUNSELOR |
| Entity Type | Organization |
| Authorized Contact | JAMES RICHARD VICCARO President 479-310-6382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P1505039) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AR M1501003) |
| 106H00000X Marriage & Family Therapist (Licence: MO 2013015040) | |
| 101YP2500X Counselor, Professional (Licence: CA 101YP2500X) | |
| 106H00000X Marriage & Family Therapist (Licence: CA MFC44465) | |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2015-10-29 |