Provider Demographics
NPI:1104234004
Name:MORROW, DUSTIN J (LPC)
Entity type:Individual
Prefix:MR
First Name:DUSTIN
Middle Name:J
Last Name:MORROW
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2213 N REYNOLDS RD STE 26
Mailing Address - Street 2:
Mailing Address - City:BRYANT
Mailing Address - State:AR
Mailing Address - Zip Code:72022-2581
Mailing Address - Country:US
Mailing Address - Phone:501-303-6108
Mailing Address - Fax:501-399-4043
Practice Address - Street 1:2213 N REYNOLDS RD
Practice Address - Street 2:
Practice Address - City:BRYANT
Practice Address - State:AR
Practice Address - Zip Code:72022-2533
Practice Address - Country:US
Practice Address - Phone:501-303-6108
Practice Address - Fax:501-399-4043
Is Sole Proprietor?:No
Enumeration Date:2014-07-24
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP1607089101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional