Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YP2500X | Professional Counselor | 1891 | CO |
Y | 101YP2500X | Professional Counselor | P9809022 | AR |
NPI | 1003058850 |
---|---|
Provider Name | Nancy S Kay |
First Address | Fayetteville, AR 72703-3969 |
Second Address | Fayetteville, AR 72703-3498 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2009 |
Last Update Date | 03/09/2020 |