MEDICARE: KLAIRE HOWARD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	P2404016	AR

General Provider Information

NPI Number	:	1942822465
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KLAIRE HOWARD

Provider Business Mailing Address
First Line	:	2607 CADDO ST STE 6
Second Line	:
City	:	ARKADELPHIA
State	:	AR
Zip	:	71923-5307
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	509 E MILLSAP RD STE 105
Second Line	:
City	:	FAYETTEVILLE
State	:	AR
Zip	:	72703-4862
Country	:	US
Telephone Number	:	479-561-7600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/07/2020
Last Update Date	:	12/09/2024

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Directions to “ KLAIRE HOWARD ” Practice Location

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