person
Tyler Young Quattlebaum, LPC
Mental Health Counselor in Fayetteville, Arkansas
NPI 1366930802

Tyler Young Quattlebaum is a Mental Health Counselor based in Fayetteville, AR and is specialized in Mental Health. Tyler Young Quattlebaum practices in Fayetteville, AR and has the professional credentials of LPC. The NPI Number for Tyler Young Quattlebaum is 1366930802 and holds a License No. P2210005 (Arkansas).

The current practice location address for Tyler Young Quattlebaum is 19 E Mountain St Ste 1, Fayetteville, AR and can be reached out via phone at 479-381-0831.

Location: 19 E Mountain St Ste 1, Fayetteville, AR, 72701-6067
person
Provider Profile Details
NPI Number
1366930802
Provider Name
Tyler Young Quattlebaum
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
19 E Mountain St Ste 1, Fayetteville, AR, 72701-6067
Phone Number
479-381-0831
Fax Number
Provider Enumeration Date
04/30/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P2210005 01 AR ARKANSAS BOARD OF EXAMINERS IN COUNSELING AND MARRIAGE & FAMILY THERAPY
institution
Provider Business Practice Location Address Details
Address
19 E Mountain St Ste 1
City
State
Zip
72701-6067
Phone Number
479-381-0831
Fax Number
person
Provider Business Mailing Address Details
Address
19 E Mountain St Ste 1
City
State
Zip
72701-6067
Phone Number
479-381-0831
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
P2210005 (Arkansas)
Definition
Definition to come...
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