Doctor Name: | MS. JUDITH F WARMBOLD |
NPI Number: | 1184745747 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | P0609048 |
Business Practice Address: | 145 W Waterman St Dumas, AR - 716392139 |
Business Phone Number: | 8703772340 |
Business Fax Number: | 8703824895 |
Mailing Address: | Po Box 493, GOULD |
State: | AR |
Postal Code: | 716430493 |
Phone Number: | 8703772340 |
Fax Number: | 8703824895 |
NPI Enumeration Date: | 04/02/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | P0609048 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |