| NPI | 1538461546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAVIS KILIAN MCKIE-VOERSTE Psychotherapist 870-275-8481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: AR A1006066) |
| Enumeration Date | 2010-11-23 |
| Last Update Date | 2010-11-23 |