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Levi David Pruitt
Counselor in Wynne, Arkansas
NPI 1902377468

Levi David Pruitt is a Counselor based in Jonesboro, AR. Levi David Pruitt practices in Wynne, AR. The NPI Number for Levi David Pruitt is 1902377468 and holds a License No. (Arkansas).

The current practice location address for Levi David Pruitt is 661 Addison Dr, Wynne, AR and can be reached out via phone at 870-238-1135 and via fax at 870-238-1139. You can also correspond with Levi David Pruitt through the mailing address at 2707 BROWNS LN, JONESBORO, AR - 72401-7213 (mailing address contact number: 870-972-4939).

Location: 661 Addison Dr, Wynne, AR, 72401-7213
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902377468
Provider Name
Levi David Pruitt
Credential
Provider Entity Type
Individual
Gender
Male
Address
661 Addison Dr, Wynne, AR, 72401-7213
Phone Number
870-238-1135
Fax Number
870-238-1139
Provider Enumeration Date
12/10/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
661 Addison Dr
City
Wynne
State
Arkansas
Zip
72396-1602
Phone Number
870-238-1135
Fax Number
870-238-1139
person
Provider Business Mailing Address Details
Address
661 Addison Dr
City
Wynne
State
Arkansas
Zip
72396-1602
Phone Number
870-238-1135
Fax Number
870-238-1139
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
(Arkansas)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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