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Kati Street
Mental Health Counselor in Fayetteville, Arkansas
NPI 1487255717

Kati Street is a Mental Health Counselor based in Fayetteville, AR and is specialized in Mental Health. Kati Street practices in Fayetteville, AR. The NPI Number for Kati Street is 1487255717 and holds a License No. P2204016 (Arkansas).

The current practice location address for Kati Street is 31 E Center St Ste 207, Fayetteville, AR and can be reached out via phone at 479-222-1191.

Location: 31 E Center St Ste 207, Fayetteville, AR, 72701-5391
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487255717
Provider Name
Kati Street
Credential
Provider Entity Type
Individual
Gender
Female
Address
31 E Center St Ste 207, Fayetteville, AR, 72701-5391
Phone Number
479-222-1191
Fax Number
Provider Enumeration Date
11/03/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
31 E Center St Ste 207
City
Fayetteville
State
Arkansas
Zip
72701-5391
Phone Number
479-222-1191
Fax Number
person
Provider Business Mailing Address Details
Address
31 E Center St Ste 207
City
Fayetteville
State
Arkansas
Zip
72701-5391
Phone Number
479-222-1191
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
P2204016 (Arkansas)
Definition
Definition to come...
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