| Doctor Name: | STACI YVONNE DUVALL |
| NPI Number: | 1205118049 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.ED., LAC |
| License Number: | A1110104 |
| Business Practice Address: | 180 South Second Street Dardanelle, AR - 72834 |
| Business Phone Number: | 5018472229 |
| Business Fax Number: | 5018478608 |
| Mailing Address: | Po Box 298, BRYANT |
| State: | AR |
| Postal Code: | 720890298 |
| Phone Number: | 5018472229 |
| Fax Number: | 5018478608 |
| NPI Enumeration Date: | 09/19/2011 |
| NPI Last Update Date: | 04/25/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YS0200X |
| License Number: | A1110104 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |