Individual
LORI R LEBAHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS LPC
Contact information
Practice address
1110 W B ST, SUITE K, RUSSELLVILLE, AR 72801-3506
(479) 280-1962
(479) 567-5521
Mailing address
PO BOX 10263, RUSSELLVILLE, AR 72812-0263
(479) 280-1962
(479) 567-5521
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P9810027
AR
Other
Enumeration date
10/12/2006
Last updated
12/06/2011
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