COURTNEY ICENHOWER

BENTON, AR
NPI1750916219
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2020-03-05
Last Update Date2022-03-09
Business Address
COURTNEY ICENHOWER
110 PEARSON
BENTON, AR 72015-4436
Phone number: 501-315-4224
Mailing Address
COURTNEY ICENHOWER
110 PEARSON
BENTON, AR 72015-4436
Phone number: 501-315-4224