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Melissa Diane Wood
Mental Health Counselor in Bentonville, Arkansas
NPI 1669193405

Melissa Diane Wood is a Mental Health Counselor based in Bella Vista, AR and is specialized in Mental Health. Melissa Diane Wood practices in Bentonville, AR. The NPI Number for Melissa Diane Wood is 1669193405 and holds a License No. A2202002 (Arkansas).

The current practice location address for Melissa Diane Wood is 111 Se 22Nd St Ste 11, Bentonville, AR and can be reached out via phone at 479-268-3280.

Location: 111 Se 22Nd St Ste 11, Bentonville, AR, 72714-1723
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669193405
Provider Name
Melissa Diane Wood
Credential
Provider Entity Type
Individual
Gender
Female
Address
111 Se 22Nd St Ste 11, Bentonville, AR, 72714-1723
Phone Number
479-268-3280
Fax Number
Provider Enumeration Date
09/09/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
A2202002 01 AR COMMERCIAL INSURANCE
institution
Provider Business Practice Location Address Details
Address
111 Se 22Nd St Ste 11
City
Bentonville
State
Arkansas
Zip
72712-5180
Phone Number
479-268-3280
Fax Number
person
Provider Business Mailing Address Details
Address
111 Se 22Nd St Ste 11
City
Bentonville
State
Arkansas
Zip
72712-5180
Phone Number
479-268-3280
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
A2202002 (Arkansas)
Definition
Definition to come...
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