Provider Demographics
NPI:1235102377
Name:FRIDDLE, RHONDA S (LPC)
Entity Type:Individual
Prefix:MRS
First Name:RHONDA
Middle Name:S
Last Name:FRIDDLE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1880 LAWRENCE RD
Mailing Address - Street 2:
Mailing Address - City:ONIA
Mailing Address - State:AR
Mailing Address - Zip Code:72663-8825
Mailing Address - Country:US
Mailing Address - Phone:870-746-4849
Mailing Address - Fax:
Practice Address - Street 1:211 BLANCHARD AVE
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:AR
Practice Address - Zip Code:72560-8869
Practice Address - Country:US
Practice Address - Phone:870-269-8100
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP9303007101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional