| Doctor Name: | MR. MICHAEL EKDAHL |
| NPI Number: | 1013020494 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MA |
| License Number: | 95-3E |
| Business Practice Address: | 6601 W 12th St Little Rock, AR - 722041513 |
| Business Phone Number: | 5016668686 |
| Business Fax Number: | 5016606825 |
| Mailing Address: | 8215 Reymere Dr, LITTLE ROCK |
| State: | AR |
| Postal Code: | 722273941 |
| Phone Number: | 5012270688 |
| Fax Number: | |
| NPI Enumeration Date: | 08/17/2006 |
| NPI Last Update Date: | 11/06/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 95-3E |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |