BENJAMIN PROTHEROE

Counselor

Active Individual
NPI: 1518245240

Practice Address

3205 W MAIN ST
Russellville, AR 72801

Phone: (479) 967-4673

Specialties

Specialty Code Primary License
Counselor 101Y00000X Yes -

Frequently Asked Questions

NPI 1518245240 is the National Provider Identifier for BENJAMIN PROTHEROE, a Counselor provider located in Russellville, AR. This NPI was enumerated on July 29, 2011.
BENJAMIN PROTHEROE practices at 3205 W MAIN ST, Russellville, AR 72801.

Quick Facts

NPI
1518245240
Type
Individual
Enumerated
Jul 29, 2011
Last Updated
Jul 29, 2011

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