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Contact Information

TRACY A PEFFERKORN, LPC
403 FILMORE ST.
FORDYCE, AR71742
 Phone: 870-313-1579
 Fax: 870-352-5127
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for TRACY A PEFFERKORN · (Female)

NPI # 1619007226
Status Active
Credentials LPC (Licensed Professional Counselor)
Entity Individual
Enumeration date 03/06/2007
Last updated 05/13/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • AR License # P1001005
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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