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Individual
KORTNEY D CLAMUCHA
Active
Individual
KORTNEY D CLAMUCHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A2606006
AR
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
338104795
—
AR
Enumeration date
04/04/2025
Last updated
06/25/2026
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