person
Mr. Kenyon Mark Mosher, LPC,LADAC
Mental Health Counselor in Arkadelphia, Arkansas
NPI 1184857369

Kenyon Mark Mosher is a Mental Health Counselor based in Arkadelphia, AR and is specialized in Mental Health. Kenyon Mark Mosher practices in Arkadelphia, AR and has the professional credentials of LPC,LADAC. The NPI Number for Kenyon Mark Mosher is 1184857369 and holds a License No. P110604 (Arkansas).

The current practice location address for Kenyon Mark Mosher is 2503 Pine St Ste 4, Arkadelphia, AR and can be reached out via phone at 870-403-3769 and via fax at 877-276-1301.

Location: 2503 Pine St Ste 4, Arkadelphia, AR, 71923-4368
person
Provider Profile Details
NPI Number
1184857369
Provider Name
Kenyon Mark Mosher
Credential
LPC,LADAC
Provider Entity Type
Individual
Gender
Male
Address
2503 Pine St Ste 4, Arkadelphia, AR, 71923-4368
Phone Number
870-403-3769
Fax Number
877-276-1301
Provider Enumeration Date
09/03/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
231767719 05 AR
NONE 01 NONE
institution
Provider Business Practice Location Address Details
Address
2503 Pine St Ste 4
City
State
Zip
71923-4368
Phone Number
870-403-3769
Fax Number
877-276-1301
person
Provider Business Mailing Address Details
Address
2503 Pine St Ste 4
City
State
Zip
71923-4368
Phone Number
870-403-3769
Fax Number
877-276-1301
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
P110604 (Arkansas)
Definition
Definition to come...
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