BRACK PONDEXTER

Counselor

Active Individual
NPI: 1750690194

Practice Address

4323 JEFFERSON AVE
Texarkana, AR 71854

Phone: (870) 773-0700

Specialties

Specialty Code Primary License
Counselor 101Y00000X Yes -

Frequently Asked Questions

NPI 1750690194 is the National Provider Identifier for BRACK PONDEXTER, a Counselor provider located in Texarkana, AR. This NPI was enumerated on October 4, 2010.
BRACK PONDEXTER practices at 4323 JEFFERSON AVE, Texarkana, AR 71854.

Quick Facts

NPI
1750690194
Type
Individual
Enumerated
Oct 4, 2010
Last Updated
Oct 4, 2010

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