Most Relevant Information
Provider Data
| NPI Number: | 1003826934 |
| Provider Name: | JUDITH ANN PUFALL MS LPC LMFT |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | P9907018 |
Most Important Dates
| Enumeration Date: | 08/09/2006 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
318 W POPLAR ST
ROGERS
AR
72756
Practice Location Phone/Fax
| Phone: | 4799868655 |
| Fax: | 4796339398 |
Provider Mailing Location
318 W POPLAR ST
ROGERS
AR
72756
Provider Mailing Phone/Fax
| Phone: | 4799868655 |
| Fax: | 4796339398 |