Edwina Howard

Individual provider Active NPI Counselor · El Dorado, AR

NPI 1821471228 · NPPES record last updated Jul 2, 2015

Key facts

NPI
1821471228
Entity type
Individual (NPI type 1)
Primary specialty
Counselor 101Y00000X
Practice address
412 N Washington Ave
El Dorado, AR 71730-5616
Phone
(870) 863-4611
Fax
(870) 863-4962
NPI assigned
Jul 2, 2015
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Yes

Addresses

Primary practice location

412 N Washington Ave
El Dorado, AR 71730-5616

Mailing address

602 N Walton Blvd
Bentonville, AR 72712-4576
Phone (479) 464-1060

Other providers in El Dorado, AR

All providers in El Dorado, AR · Counselor in Arkansas

Sources for this page

Verify at the official NPI Registry.